Evelyn, Victoria M

Evelyn, Victoria M is an individual health care provider with primary practice located at 1755 48Th St Ste 100 , Boulder CO 80301-2712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Evelyn, Victoria M can be contacted via phone (303) 604-5000.

Contact Information

Primary practice address
1755 48Th St Ste 100 Boulder CO 80301-2712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110004619 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.0008275 Colorado

Profile Details

NPI number 1114332020
LBN Legal business name Evelyn, Victoria M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Mar 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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