Individual
ELIZABETH FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004030
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992197974
—
CO
05
—
28759311
—
CO
01
—
404481YLSH
MEDICARE PTAN
CO
Enumeration date
02/27/2015
Last updated
02/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us