NPI 1235811654 · live from the CMS NPI Registry
Susan Alsharif, PA-C
Physician Assistant in Colorado Springs, CO. National Provider Identifier 1235811654, active.
NPI record
| NPI | 1235811654 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 |
| Practice phone | 719-364-6487 |
| Mailing address | 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538 |
| Enumerated | August 4, 2023 |
| Last updated | July 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Physician Assistant, Surgical | 363AS0400X | PA.0008155 (CO) |
| Physician Assistant, Surgical | 363AS0400X | — |
| Physician Assistant primary | 363A00000X | PA.0008155 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.