Provider Demographics
NPI:1043584279
Name:THOMAS, HEATHER ANNE (PA)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNE
Last Name:THOMAS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5995 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4706
Mailing Address - Country:US
Mailing Address - Phone:303-750-9454
Mailing Address - Fax:303-750-1996
Practice Address - Street 1:5995 GREENWOOD PLAZA BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4706
Practice Address - Country:US
Practice Address - Phone:303-750-9454
Practice Address - Fax:303-750-1996
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2015-09-30
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Provider Licenses
StateLicense IDTaxonomies
COCO 853363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical