Michelle Degrave, PA
Physician Assistant, Surgical in Aurora, CO. Individual provider (NPI-1).
NPI number1124121926
StatusActive
Last updated in NPPESOct 22, 2018
Details
- NPI
- 1124121926
- Entity type
- Individual (NPI-1)
- Name
- Michelle Degrave
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA.0001513 | CO | Yes |
| 363A00000X | Physician Assistant | 1513 | CO |
Practice location
12605 E 16th AveAurora, CO 80045-2545
Phone 720-848-0000
Mailing address
Po Box 110429Aurora, CO 80042-0429
Phone 303-493-7000
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