Provider Demographics
NPI:1083844872
Name:MAJURE, EMILY W (PA-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:W
Last Name:MAJURE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 E 9TH AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3926
Mailing Address - Country:US
Mailing Address - Phone:303-399-3315
Mailing Address - Fax:303-355-7088
Practice Address - Street 1:4500 E 9TH AVE STE 700
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3926
Practice Address - Country:US
Practice Address - Phone:303-399-3315
Practice Address - Fax:303-355-7088
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2820363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO64804577Medicaid