Individual
ANN THEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7300
(970) 247-5362
(970) 259-6045
Mailing address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7300
(970) 247-5362
(970) 259-6045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0002064
CO
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
02/09/2026
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