Healthcare Provider Details

I. General information

NPI: 1255983888
Provider Name (Legal Business Name): DANIELLE RAE DONLAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE RAE COLLINS PA-C

II. Dates (important events)

Enumeration Date: 07/13/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 E BRIARWOOD AVE STE 250
CENTENNIAL CO
80112-4149
US

IV. Provider business mailing address

13111 E BRIARWOOD AVE
CENTENNIAL CO
80112-3930
US

V. Phone/Fax

Practice location:
  • Phone: 303-805-1800
  • Fax: 303-805-9323
Mailing address:
  • Phone: 303-805-1800
  • Fax: 303-805-9323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number153229
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006575
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPAC0798
License Number StateND
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number13188
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: