Individual
ABBEY PRUDHOMME SEUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4803 INNOVATION DR STE 2, FORT COLLINS, CO 80525-7308
(970) 566-3505
(877) 819-1323
Mailing address
4803 INNOVATION DR STE 2, FORT COLLINS, CO 80525-7308
(970) 566-3505
(877) 819-1323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2137
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18231276
—
CO
01
—
P00621767
RAILROAD MEDICARE PART B
CO
Enumeration date
03/02/2006
Last updated
12/05/2024
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