Provider Demographics
NPI:1497885602
Name:BEHRHORST, AMY W (PA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:W
Last Name:BEHRHORST
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:BEHRHORST
Other - Last Name:COVINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:0401 CASTLE CREEK RD
Mailing Address - Street 2:ASPEN VALLEY HOSPITAL
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-0000
Mailing Address - Country:US
Mailing Address - Phone:970-925-1120
Mailing Address - Fax:970-544-1133
Practice Address - Street 1:0401 CASTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-0000
Practice Address - Country:US
Practice Address - Phone:970-925-1120
Practice Address - Fax:970-544-1133
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO887363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical