Individual
DANIELLE LAUREN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(970) 495-7421
(970) 203-7179
Mailing address
2121 E HARMONY RD UNIT 330, FORT COLLINS, CO 80528-3403
(970) 221-5878
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000194942
—
CO
Enumeration date
11/01/2017
Last updated
05/06/2024
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