Individual
MRS. CYNTHIA TAYLOR CHAVOUSTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9397 CROWN CREST BLVD STE 221, PARKER, CO 80138-8576
(303) 788-8888
(303) 790-2567
Mailing address
1805 SHEA CENTER DR STE 301, HIGHLANDS RANCH, CO 80129-2277
(303) 330-0271
(303) 330-0371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2213
CO
363A00000X
Physician Assistant
PA.0002213
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026062
KAISER COMMERCIAL NUMBER
CO
05
—
14939053
—
CO
Enumeration date
01/10/2007
Last updated
09/16/2021
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