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NPI Code Detail

MEDICARE: MS. ANGELA M SMITH PA

MEDICARE: MS. ANGELA M SMITH PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15-01458KS
2363A00000XPhysician Assistant917AK
3363A00000XPhysician Assistant1736CO
4363A00000XPhysician AssistantPA60636968WA
5363AM0700XMedical Physician Assistant1736CO
6363AS0400XSurgical Physician AssistantPA.0001736CO

General Provider Information

NPI Number : 1356424782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA M SMITH PA
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number : 970-624-2409
Fax Number : 970-490-4155
Provider Business Practice Location Address
First Line : 5589 ARGONNE ST
Second Line :
City : DENVER
State : CO
Zip : 80249-8989
Country : US
Telephone Number : 720-516-8805
Fax Number : 720-516-8806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 02/07/2025

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Directions to “ MS. ANGELA M SMITH PA” Practice Location

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