Individual
MS. EMILY E SHUPETALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1258 S PEARL ST STE 110, DENVER, CO 80210-1538
(303) 399-7970
(303) 399-7905
Mailing address
2975 ROSLYN ST UNIT 100, DENVER, CO 80238-3326
(303) 626-7944
(303) 763-5495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002524
CO
Other
Enumeration date
11/18/2009
Last updated
03/17/2022
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