Provider Demographics
NPI:1629947007
Name:FOLGER, SHAELY (PA)
Entity type:Individual
Prefix:
First Name:SHAELY
Middle Name:
Last Name:FOLGER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1747 DENVER WEST MARRIOTT BLVD
Mailing Address - Street 2:UNIT 4406
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3446
Mailing Address - Country:US
Mailing Address - Phone:720-550-1359
Mailing Address - Fax:
Practice Address - Street 1:1747 DENVER WEST MARRIOTT BLVD
Practice Address - Street 2:UNIT 4406
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3446
Practice Address - Country:US
Practice Address - Phone:720-550-1359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO0009424363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant