NPI 1093429029 · live from the CMS NPI Registry
Christopher Ahumada, PA
Physician Assistant in Boulder, CO. National Provider Identifier 1093429029, active.
NPI record
| NPI | 1093429029 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2525 13th St, Boulder, CO 80304 |
| Practice phone | 303-650-4460 |
| Mailing address | 1735 S Public Rd # 203, Lafayette, CO 80026 |
| Enumerated | January 13, 2023 |
| Last updated | January 13, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA0007748 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.