Individual
CARMEN ELENA NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16951 E QUINCY AVE, AURORA, CO 80015-1901
(303) 752-5470
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0006635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000190610
—
CO
Enumeration date
09/26/2019
Last updated
12/02/2021
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