Healthcare Provider Details
I. General information
NPI: 1013272871
Provider Name (Legal Business Name): ALLISON ANN VILLEGAS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/09/2012
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7625 W 92ND AVE
WESTMINSTER CO
80021-4567
US
IV. Provider business mailing address
7135 GLADIOLA ST
ARVADA CO
80004-1019
US
V. Phone/Fax
- Phone: 303-254-7463
- Fax: 303-650-2287
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | 0003474 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: