Provider Demographics
NPI:1003464603
Name:PATURZO, MICHELLE MARY (PA-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARY
Last Name:PATURZO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1667 COLE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3320
Mailing Address - Country:US
Mailing Address - Phone:303-420-3131
Mailing Address - Fax:303-420-1984
Practice Address - Street 1:1667 COLE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3320
Practice Address - Country:US
Practice Address - Phone:033-420-3131
Practice Address - Fax:303-420-1984
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program