Individual
MS. PATRICIA ANNE BOLSHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-2300
(720) 848-2323
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1458
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0001458
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99482533
—
CO
Enumeration date
01/03/2007
Last updated
01/11/2021
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