Individual
CAROLINE MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-4949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7405-023
WI
363A00000X
Physician Assistant
Primary
PA.9179
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246441
—
WI
Enumeration date
03/22/2023
Last updated
02/02/2026
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