Individual
MRS. AMY LYNNE OSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 S PERRY ST STE 101B, CASTLE ROCK, CO 80104-1921
(303) 699-1395
Mailing address
2100 16TH ST UNIT 212, DENVER, CO 80202-5184
(720) 375-3811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAL 2845
CO
363AM0700X
Medical Physician Assistant
Primary
7752075-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-1489728
TAX ID
CO
Enumeration date
10/20/2009
Last updated
07/23/2019
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