Provider Demographics
NPI:1558638189
Name:GUIDER, ERIKA LEIGH (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LEIGH
Last Name:GUIDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LEIGH
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1260 DOCTORS LN STE A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-4072
Mailing Address - Country:US
Mailing Address - Phone:970-286-2668
Mailing Address - Fax:970-294-4954
Practice Address - Street 1:1327 EAGLE DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-8059
Practice Address - Country:US
Practice Address - Phone:970-286-2668
Practice Address - Fax:970-294-4954
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.003888363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant