Individual
AVERY MARIE TUDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 W 72ND AVE, DENVER, CO 80221-2721
(615) 966-7150
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(615) 966-7150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009056
CO
363A00000X
Physician Assistant
Primary
PA.9056
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2025
Last updated
04/02/2026
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