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NPI Code Detail

MEDICARE: ALICIA A HEUSER PA

MEDICARE:   ALICIA A HEUSER  PA
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
1363AM0700XMedical Physician Assistant1808WI
2363AS0400XSurgical Physician AssistantPA.0006717CO
3363A00000XPhysician Assistant085-002388IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225036973
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA A HEUSER PA
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number : 970-624-4034
Fax Number : 970-490-4347
Provider Business Practice Location Address
First Line : 4404 BARRANCA LN UNIT 101
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-7432
Country : US
Telephone Number : 720-733-5260
Fax Number : 720-733-5261
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/26/2022

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Directions to “ ALICIA A HEUSER PA” Practice Location

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