Individual
BIANCA MIKAELA IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5102 S BROADWAY, ENGLEWOOD, CO 80113-6706
(720) 457-9100
Mailing address
3481 S FENTON ST APT A106, DENVER, CO 80227-5518
(386) 292-6861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007916
CO
363A00000X
Physician Assistant
Primary
PA9116886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9116886
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
05/09/2023
Last updated
04/30/2026
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