Provider Demographics
NPI:1083887889
Name:CARMOSINO, AMELIA LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:LYNN
Last Name:CARMOSINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:AMELIA
Other - Middle Name:LYNN
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6900 E 47TH AVENUE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216
Mailing Address - Country:US
Mailing Address - Phone:303-831-9393
Mailing Address - Fax:
Practice Address - Street 1:6900 E 47TH AVENUE DR.
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216
Practice Address - Country:US
Practice Address - Phone:303-831-9393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2739363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant