Individual provider · Type 1 NPI

Dominica Annabeth Hadley, PA-C

Physician Assistant · Longmont, CO

NPI number 1275204802 Active

Practice location

2101 Ken Pratt Blvd Ste 104A
Longmont, CO 80501-6568

Call (303) 415-4155 Map

Fax (303) 776-3109

Mailing address

PO Box 9049
Boulder, CO 80301-9049

Other practice locations

  • 200 1st St SW, Rochester, MN 55905-0002 · (507) 284-2511

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.0009638 (CO)
Physician Assistant 363A00000X14612 (MN)

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…

4 other providers at this address

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About NPI 1275204802

Dominica Annabeth Hadley, PA-C's National Provider Identifier is 1275204802, issued on Sep 23, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Longmont, CO. The record was last updated on Feb 27, 2026.