Individual
AUDRA VICTORIA SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4846 LARIMER PKWY, JOHNSTOWN, CO 80534-9012
(970) 624-2834
Mailing address
4846 LARIMER PKWY BLDG 1, JOHNSTOWN, CO 80534-9012
(970) 624-2834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007408
CO
363AM0700X
Medical Physician Assistant
PA.0007408
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/13/2021
Last updated
02/15/2023
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