Provider Demographics
NPI:1730929167
Name:FILONOFF, ELLEN
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:
Last Name:FILONOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2569 S KENDRICK ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-5540
Mailing Address - Country:US
Mailing Address - Phone:303-524-4106
Mailing Address - Fax:
Practice Address - Street 1:2055 S ONEIDA ST STE 280
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-2466
Practice Address - Country:US
Practice Address - Phone:303-524-4106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0026199163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)Group - Single Specialty