Individual
EMILY E WILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 350-4645
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6208
CO
363AM0700X
Medical Physician Assistant
PA.0006208
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
10/24/2019
Last updated
03/15/2024
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