Provider Demographics
NPI:1609760370
Name:SHAVER, HALLEE KAY
Entity type:Individual
Prefix:
First Name:HALLEE
Middle Name:KAY
Last Name:SHAVER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5783 W 71ST CIR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-3807
Mailing Address - Country:US
Mailing Address - Phone:970-768-7510
Mailing Address - Fax:
Practice Address - Street 1:5783 W 71ST CIR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3807
Practice Address - Country:US
Practice Address - Phone:970-768-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant