Individual
CARLY NICOLE GIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24300 E SMOKY HILL RD UNIT 120, AURORA, CO 80016-1387
(303) 330-0410
(303) 330-0732
Mailing address
1805 SHEA CENTER DR STE 450, HIGHLANDS RANCH, CO 80129-2255
(303) 357-2559
(303) 330-0732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007365
IL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA.0007777
CO
Other
Enumeration date
09/27/2019
Last updated
08/29/2025
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