Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN ELIZABETH WALLACE, PA-C
Active Sole ProprietorCOLLEEN ELIZABETH WALLACE, PA-C is a Physician Assistant healthcare provider located in LONGMONT, Colorado. NPI 1568187904 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LONGMONT, CO
Registration Details
- NPI Number
- 1568187904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2022 (3.8347421001752 yrs)
- Last Updated
- Sep 27, 2023
- License
-
PA.0007479 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 S AIRPORT RD BLDG DLONGMONT, CO, 805036476Browse CO providers · Browse ZIP 80503
- Phone
- 3034942705
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| MR. RYAN J RITCHHART | PA-C | 1053314310 |
| MS. SHARON R KLOEPFER | PA | 1114924263 |
| MS. KARI L SCHOENWALD | PA | 1962400705 |
| MRS. MELINDA L SHARKEY | PA | 1578547329 |
| ELIZABETH TRACY MORAN | P.A. | 1174508279 |
| MATTHEW A SCHNEIDER | P.A. | 1568447282 |
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.