Individual
EMILY C EITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E HARMONY RD, FORT COLLINS, CO 80528
(970) 493-6337
(970) 493-3528
Mailing address
2121 E HARMONY RD, FORT COLLINS, CO 80528-3400
(970) 493-6337
(970) 493-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005851
CO
363A00000X
Physician Assistant
PA60790428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326396235
—
WA
Enumeration date
08/27/2012
Last updated
08/29/2019
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