Individual
ANNIE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COOK ST STE 210, DENVER, CO 80206-5328
(720) 516-9402
(720) 516-9430
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1163545
LA
363A00000X
Physician Assistant
Primary
PA.0006934
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000200876
—
CO
Enumeration date
04/03/2019
Last updated
02/16/2022
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