Individual provider · Type 1 NPI

Brianna C. Illingworth, PA

Surgical Physician Assistant · Aurora, CO

NPI number 1295369015 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 2500 Rocky Mountain Ave Ste 360, Loveland, CO 80538-9004 · (970) 221-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400X4848 (CT)
Surgical Physician Assistant Primary 363AS0400XPA.0008356 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1295369015

Brianna C. Illingworth, PA's National Provider Identifier is 1295369015, issued on Mar 2, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Feb 10, 2025.