Provider Demographics
NPI:1477206456
Name:ANDERSON, VIRGINIA ERIN (MPA, PA-C)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ERIN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MPA, PA-C
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Other - Last Name:
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Mailing Address - Street 1:2340 DALTON DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5356
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3351 EASTBROOK DR STE 200
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5744
Practice Address - Country:US
Practice Address - Phone:888-374-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2024-05-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant