Individual provider · Type 1 NPI

Mackenzie Shea Oliver

Physician Assistant · Northglenn, CO

NPI number 1093449969 Active

Practice location

11990 Grant St Ste 400
Northglenn, CO 80233-1136

Call (720) 773-2464 Map

Fax (720) 817-8477

Mailing address

5445 Dtc Pkwy Ste 1130
Greenwood Village, CO 80111-3038

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0008332 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1093449969

Mackenzie Shea Oliver's National Provider Identifier is 1093449969, issued on Jul 14, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Northglenn, CO. The record was last updated on Jul 9, 2025.