Individual provider · Type 1 NPI
Michelle L. Fussnecker, PA-C
Medical Physician Assistant · Broomfield, CO
NPI number
1871047753
Active
Practice location
6450 W 120th Ave Unit A
Broomfield, CO 80020
Mailing address
1621 S Wolcott Ct
Denver, CO 80219-4334
Other practice locations
- 4304 Carlisle Blvd NE, Albuquerque, NM 87107-4811 · (505) 888-1075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2016-0060 (NM) |
| Medical Physician Assistant Primary | 363AM0700X | PA.0004945 (CO) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Broomfield
- Laura Elizabeth Bland, PA-CMedical Physician Assistant Broomfield, CO NPI 1013105105
- Darcy Lee Connelly, P.AMedical Physician Assistant Broomfield, CO NPI 1144242579
- Melissa J. Guerri, PA-C, M.S.Medical Physician Assistant Broomfield, CO NPI 1295068682
- Meghan Elizabeth Reichert, PA-CMedical Physician Assistant Broomfield, CO NPI 1376370437
- Richard D. Hazen, P.A.Medical Physician Assistant Broomfield, CO NPI 1538181961
- Catherine Elizabeth Peterson, PAMedical Physician Assistant Broomfield, CO NPI 1538417134
- Haley Wolf, PAMedical Physician Assistant Broomfield, CO NPI 1558994442
- Charles John Schoephoerster, PA-CMedical Physician Assistant Broomfield, CO NPI 1629264080
About NPI 1871047753
Michelle L. Fussnecker, PA-C's National Provider Identifier is 1871047753, issued on Aug 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Broomfield, CO. The record was last updated on Jun 21, 2018.