Individual
NIAMH ELIZABETH SUTHERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 820-5000
Mailing address
2923 GINNALA DR, LOVELAND, CO 80538-2702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13028
NC
363A00000X
Physician Assistant
Primary
PA.0009124
CO
Other
Enumeration date
02/21/2023
Last updated
10/06/2025
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