Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE MARIE ITANO, MD
ActivePain Medicine (PM&R) · GREELEY, CO
Registration Details
- NPI Number
- 1225449754
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2014 (11.922982646532 yrs)
- Last Updated
- Jun 3, 2024
- License
-
0062819 (CO)
Practice Information
- Address
-
6810 10TH STGREELEY, CO, 806348254Browse CO providers · Browse ZIP 80634
- Phone
- 7177319660
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.