Provider Demographics
NPI:1184861494
Name:VOLZ, ELIZABETH ANDREWS (PA-C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANDREWS
Last Name:VOLZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HEARTWOOD UNIT 26
Mailing Address - Street 2:
Mailing Address - City:BAYFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:81122-9270
Mailing Address - Country:US
Mailing Address - Phone:970-844-2570
Mailing Address - Fax:
Practice Address - Street 1:800 HEARTWOOD UNIT 26
Practice Address - Street 2:
Practice Address - City:BAYFIELD
Practice Address - State:CO
Practice Address - Zip Code:81122-9270
Practice Address - Country:US
Practice Address - Phone:970-844-2570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2209363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant