Provider Demographics
NPI:1679990451
Name:ARMSTRONG, MALLORY ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MALLORY
Middle Name:ELIZABETH
Last Name:ARMSTRONG
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1819 DENVER WEST DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:303-223-4448
Mailing Address - Fax:703-851-1048
Practice Address - Street 1:8505 ARLINGTON BLVD STE 400
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4636
Practice Address - Country:US
Practice Address - Phone:703-698-4444
Practice Address - Fax:703-851-1048
Is Sole Proprietor?:No
Enumeration Date:2014-03-18
Last Update Date:2023-11-17
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Provider Licenses
StateLicense IDTaxonomies
VA0110004536363A00000X
COPA.0004993363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant