Individual
JEANNIE THAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 360, LOVELAND, CO 80538-9004
(970) 221-1000
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
03/22/2026
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