Individual
MS. ANNE M STAVROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 MIDPOINT DR STE 100, FORT COLLINS, CO 80525-4448
(970) 980-2425
Mailing address
2601 MIDPOINT DR STE 100, FORT COLLINS, CO 80525-4448
(970) 980-2425
(970) 980-2430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5582
CO
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA0005582
CO
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0005582
DEPT OF REGULATORY AGENCIES DORA
CO
Enumeration date
07/07/2016
Last updated
03/09/2026
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