MARY ELIZABETH STULTS P.A.-C NPI 1437232949

NPI Information

NPI: 1437232949
Provider Name: MARY ELIZABETH STULTS, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
198 UNION BLVD
SUITE 150
LAKEWOOD, CO
ZIP 80228
Phone: (303) 892-6033
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Mary Elizabeth Stults, P.A.-C is a medical physician assistant in Lakewood, CO. Mary Elizabeth Stults, P.A.-C NPI is 1437232949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

198 UNION BLVD
SUITE 150
LAKEWOOD, CO
ZIP 80228-259
Phone: (303) 892-6033
Fax: (303) 573-6929

The NPI 1437232949 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	C000333	MARYLAND	Yes
2	363AM0700X	Physician Assistant	Medical	3345	COLORADO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	92878563	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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