Provider Demographics
NPI:1174138523
Name:SLAYMAN, ELIZA KEATING (APN)
Entity type:Individual
Prefix:
First Name:ELIZA
Middle Name:KEATING
Last Name:SLAYMAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:CARROLL
Other - Last Name:KEATING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3282 DEPEW ST
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80212-7045
Mailing Address - Country:US
Mailing Address - Phone:970-708-1032
Mailing Address - Fax:
Practice Address - Street 1:660 GOLDEN RIDGE RD STE 250
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9541
Practice Address - Country:US
Practice Address - Phone:303-274-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-12
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995747-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily