Individual
MRS. ANDREA YVONNE PLEUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MS
Contact information
Practice address
311 STEELE ST, DENVER, CO 80206-4479
(303) 372-4010
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002909
CO
363AM0700X
Medical Physician Assistant
PA.0002909
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028628
KAISER COMMERCIAL
CO
01
—
1089095
NCCPA BOARD CERTIFIED
CO
05
—
9000153469
—
CO
01
—
PAL-2909
COLORADO STATE LICENSE
CO
Enumeration date
10/23/2009
Last updated
12/19/2019
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