Provider Demographics
NPI:1962827717
Name:ZWIACHER, NORMA DAUGHERTY (PA)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:DAUGHERTY
Last Name:ZWIACHER
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 1:12605 E 16TH AVE FL 3
Mailing Address - Street 2:ACADEMIC OFFICE 1, MAIL STOP B130
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2545
Mailing Address - Country:US
Mailing Address - Phone:720-848-5300
Mailing Address - Fax:720-848-5301
Practice Address - Street 1:12605 E 16TH AVE FL 3
Practice Address - Street 2:ACADEMIC OFFICE 1, MAIL STOP B130
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-5300
Practice Address - Fax:720-848-5301
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2568363AM0700X
COPA.0004698363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical