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NPI Code Detail

MEDICARE: JORDYN ALMEIDA PA

MEDICARE:   JORDYN  ALMEIDA  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 Assistant
2363AS0400XSurgical Physician AssistantPA.8450CO

General Provider Information

NPI Number : 1639736861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN ALMEIDA PA
Provider Business Mailing Address
First Line : 220 CARIBOU WAY
Second Line :
City : MONUMENT
State : CO
Zip : 80132-8536
Country : US
Telephone Number : 303-901-2302
Fax Number :
Provider Business Practice Location Address
First Line : 950 E HARVARD AVE STE 550
Second Line :
City : DENVER
State : CO
Zip : 80210-7000
Country : US
Telephone Number : 303-269-2920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 06/10/2024

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Directions to “ JORDYN ALMEIDA PA” Practice Location

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