MEDICARE: AMY N PATRICK 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
1	363A00000X	Physician Assistant	2059	CO

General Provider Information

NPI Number	:	1376526533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY N PATRICK PA

Provider Business Mailing Address
First Line	:	1625 FOXTRAIL DR STE 190
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9089
Country	:	US
Telephone Number	:	970-619-6900
Fax Number	:	970-619-6990

Provider Business Practice Location Address
First Line	:	1625 FOXTRAIL DR
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9088
Country	:	US
Telephone Number	:	970-619-6900
Fax Number	:	970-619-6990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	10/04/2021

Similar Medicare Providers

1750614608 — KRISTIN LEIGH MIKKELSEN PA-C
Practice Location Address:

1625 FOXTRAIL DR
LOVELAND, CO
80538-9088

Practice Phone: 970-500-2244
Practice Fax:

1467453837 — DR. JORDAN I FRISHMAN M.D.
Practice Location Address:

1625 FOXTRAIL DR , SUITE 200
LOVELAND, CO
80538-9088

Practice Phone: 970-490-4209
Practice Fax:

1700856671 — DR. JACOB CHUA LIAO ONG M.D.
Practice Location Address:

1625 FOXTRAIL DR , SUITE 200
LOVELAND, CO
80538-9088

Practice Phone: 970-490-4209
Practice Fax:

1407012826 — HERON LAKE LLC
Practice Location Address:

1625 FOXTRAIL DR , STE 190
LOVELAND, CO
80538-9088

Practice Phone: 970-619-6900
Practice Fax: 970-619-6990

1063890440 — GEORGE W. HOLLING DDS, MS, PC
Practice Location Address:

1625 FOXTRAIL DR , SUITE 100
LOVELAND, CO
80538-9088

Practice Phone: 970-669-7300
Practice Fax: 970-669-7301

1043169857 — JACLYN GONZALES PHARMD
Practice Location Address:

2000 BOISE AVE
LOVELAND, CO
80538-5006

Practice Phone: 970-820-6853
Practice Fax:

Directions to “ AMY N PATRICK PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.