ELISE NICOLE VAN ETTEN (NPI# 1326588732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326588732 |
| Entity Type | Individual |
| Full Name | ELISE NICOLE VAN ETTEN |
| Other Name | ELISE NICOLE SHELLENBERGER |
| Credential | PA |
| Practice Address |
13123 E 16th Ave # 323 Anschutz Medical Campus Aurora CO 80045-7106 |
| Practice Telephone | 7033282787 |
| Mailing Telephone | 7033282787 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0004919 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13123 E 16TH AVE # 323 ANSCHUTZ MEDICAL CAMPUS |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185753 | Emmanuel Lobo | Physician Assistant | 857 Vaughn St., Aurora, CO 80011 | 2014-04-25 |
| 1366879330 | Harold Lisandro Mendoza Moreno | Physician Assistant | 2381 Lundquist Dr, Aurora, IL 60503-3635 | 2013-10-04 |
| 1629318472 | Ricardo F Gonzalez | Physician Assistant | 6998 S Riverwood Way, Aurora, CO 80016-2486 | 2013-02-14 |
| 1548538457 | Arapahoe Professional Surgical Assistants | Physician Assistant | 13918 E Mississippi Ave # 474, Aurora, CO 80012-3603 | 2011-12-06 |
| 1225284490 | Arenas Surgical Services | Physician Assistant | 1999 Ione Ln, Aurora, IL 60503-7826 | 2008-08-07 |
| 1689896557 | Mark Brian Hinton | Physician Assistant | 19884 E. Vassar Ave., Aurora, CO 80013 | 2007-05-02 |
| 1649305343 | Colorado Physician Surgical Asst Inc | Physician Assistant | 1673 S Flanders Way, Aurora, CO 80017-5509 | 2007-02-22 |
| 1033260963 | Patrick E Byrge | Physician Assistant | 21870 E Briarwood Dr, Suite #1321, Aurora, CO 80016-6034 | 2007-01-16 |
| 1255987772 | Jordan Francesca Macri | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-08-12 |
| 1033606686 | Emily Antoinette Williams | Physician Assistant | 1501 S Potomac St, Aurora, CO 80012-5411 | 2018-04-19 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.