Individual
CHEYENNE CLAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3702 S TIMBERLINE RD STE A, FORT COLLINS, CO 80525-3625
(970) 207-9773
Mailing address
382 S ARTHUR AVE, LOUISVILLE, CO 80027-3094
(303) 604-5000
(303) 890-0502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6471
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000189693
—
CO
Enumeration date
06/07/2018
Last updated
01/03/2022
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