Provider Demographics
NPI:1770833006
Name:FORSEE, TALIA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:TALIA
Middle Name:
Last Name:FORSEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:TALIA
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:7475 MCLAUGHLIN RD
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-4716
Mailing Address - Country:US
Mailing Address - Phone:719-495-9994
Mailing Address - Fax:
Practice Address - Street 1:7475 MCLAUGHLIN RD
Practice Address - Street 2:
Practice Address - City:PEYTON
Practice Address - State:CO
Practice Address - Zip Code:80831-4716
Practice Address - Country:US
Practice Address - Phone:719-495-9994
Practice Address - Fax:719-495-9904
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0004428363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO88575349Medicaid
CO464488YKRDMedicare Oscar/Certification