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NPI 1194516542 · live from the CMS NPI Registry

Elise Abbott

Physician Assistant in Fort Collins, CO. National Provider Identifier 1194516542, active.

NPI record

NPI1194516542 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1120 E Elizabeth St Ste G2, Fort Collins, CO 80524
Practice phone970-493-9193
Mailing address1120 E Elizabeth St Ste 2, Fort Collins, CO 80524
EnumeratedMay 15, 2025
Last updatedFebruary 25, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPA.0009675 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.