Provider Demographics
NPI:1922326024
Name:AKERMAN, AMY BELINDA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BELINDA
Last Name:AKERMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:BELINDA
Other - Last Name:AKERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:13001 E 17TH PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2570
Mailing Address - Country:US
Mailing Address - Phone:303-724-1339
Mailing Address - Fax:
Practice Address - Street 1:562 SABLE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-0809
Practice Address - Country:US
Practice Address - Phone:303-697-2583
Practice Address - Fax:303-286-4589
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4691363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000181776Medicaid