NPI 1063804839 · live from the CMS NPI Registry
Charlotte Andrews
Physician Assistant, Surgical in Ft Carson, CO. National Provider Identifier 1063804839, active.
NPI record
| NPI | 1063804839 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 1650 Cochrane Cir, Ft Carson, CO 80913 |
| Practice phone | 719-526-7732 |
| Enumerated | March 3, 2015 |
| Last updated | January 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA.0004973 (CO) |
| Physician Assistant, Surgical primary | 363AS0400X | PA.0004973 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.