Provider Demographics
NPI:1851580484
Name:HOWARD, EMILY ELIZABETH (PA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELIZABETH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 S POTOMAC ST STE 270
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5456
Mailing Address - Country:US
Mailing Address - Phone:303-369-1080
Mailing Address - Fax:303-750-4913
Practice Address - Street 1:1550 S POTOMAC ST STE 370
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5433
Practice Address - Country:US
Practice Address - Phone:303-369-1080
Practice Address - Fax:970-527-2107
Is Sole Proprietor?:No
Enumeration Date:2007-10-19
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA0005543363AM0700X
CO5543363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200132190 AMedicaid
NM03582884Medicaid
TX190847704Medicaid
OK200132190 AMedicaid
TXTXB136537Medicare PIN