Individual provider · Type 1 NPI

Angela Marie Modin, PA-C

Physician Assistant · Greeley, CO

NPI number 1356642649 Active

Practice location

5881 W 16th St Ste B
Greeley, CO 80634-2910

Call (970) 652-2235 Map

Fax (970) 652-2827

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3023 (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 1356642649

Angela Marie Modin, PA-C's National Provider Identifier is 1356642649, issued on Nov 3, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Greeley, CO. The record was last updated on Mar 12, 2026.