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NPI Code Detail

MEDICARE: SHAELY MAE FOLGER PA

MEDICARE:   SHAELY MAE FOLGER  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
1363A00000XPhysician Assistant0009424CO

General Provider Information

NPI Number : 1629947007
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAELY MAE FOLGER PA
Provider Business Mailing Address
First Line : 3601 S BROADWAY
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-3610
Country : US
Telephone Number : 303-658-0059
Fax Number :
Provider Business Practice Location Address
First Line : 3601 S BROADWAY
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-3610
Country : US
Telephone Number : 303-658-0059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 12/05/2025

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Directions to “ SHAELY MAE FOLGER PA” Practice Location

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