Individual
HEATHER L. FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2885
AZ
363A00000X
Physician Assistant
PA.0003940
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831299
—
AZ
05
—
85653063
—
CO
01
—
P01448012
RAILROAD MEDICARE
CO
Enumeration date
08/31/2006
Last updated
10/12/2023
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