Healthcare Provider Details

I. General information

NPI: 1457084675
Provider Name (Legal Business Name): EMMA DUECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 E 17TH AVE
AURORA CO
80045-2525
US

IV. Provider business mailing address

12401 E 17TH AVE
AURORA CO
80045-2525
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-6777
  • Fax:
Mailing address:
  • Phone: 720-848-6777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009176
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: