Individual
HEATHER CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
Mailing address
2008 CARIBOU DR, FORT COLLINS, CO 80525-4325
(970) 484-4757
(970) 484-4759
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
324417
LA
363AS0400X
Surgical Physician Assistant
Primary
PA.0006872
CO
Other
Enumeration date
04/20/2020
Last updated
03/02/2022
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