Individual
MICHAELA PAIGE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1708 BOISE AVE, LOVELAND, CO 80538-4204
(970) 667-3116
(970) 669-0159
Mailing address
1708 BOISE AVE, LOVELAND, CO 80538-4204
(970) 667-3116
(970) 669-0159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
08/24/2023
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