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NPI Code Detail

MEDICARE: CARRIE ANN CHANOS PA-C

MEDICARE:   CARRIE ANN CHANOS  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2254CO

General Provider Information

NPI Number : 1194028159
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARRIE ANN CHANOS PA-C
Provider Business Mailing Address
First Line : 1805 SHEA CENTER DR STE 450
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2255
Country : US
Telephone Number : 303-357-2559
Fax Number : 720-828-7901
Provider Business Practice Location Address
First Line : 9135 RIDGELINE BLVD STE 190
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-2395
Country : US
Telephone Number : 720-828-7755
Fax Number : 720-828-7901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2010
Last Update Date : 12/08/2025

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Directions to “ CARRIE ANN CHANOS PA-C” Practice Location

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