Healthcare Provider Details

I. General information

NPI: 1841866431
Provider Name (Legal Business Name): ALEXANDRA HECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA DANIEL PA-C

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19413 N TURKEY CREEK RD
MORRISON CO
80465-8985
US

IV. Provider business mailing address

7228 S TURKEY CREEK RD
MORRISON CO
80465-9537
US

V. Phone/Fax

Practice location:
  • Phone: 720-969-1839
  • Fax: 720-664-4756
Mailing address:
  • Phone: 720-591-0642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA.0006647
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006647
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: