Individual
ANDREA SUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 W 38TH AVE STE 220, DENVER, CO 80212-2005
(303) 420-1297
Mailing address
2801 W 52ND AVE, DENVER, CO 80221-1259
(970) 690-5518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
12/03/2024
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