Healthcare Provider Details

I. General information

NPI: 1962329797
Provider Name (Legal Business Name): MAGGIE JAYNE HATFIELD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 S WILLOW DR STE 307
GREENWOOD VILLAGE CO
80111-5177
US

IV. Provider business mailing address

475 N LAFAYETTE ST
DENVER CO
80218-3942
US

V. Phone/Fax

Practice location:
  • Phone: 303-942-0036
  • Fax:
Mailing address:
  • Phone: 309-453-0654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009940
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: