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Stasia Anna Bailey, PA

Physician Assistant in Fort Collins, CO. Individual provider (NPI-1).

NPI number1841698677
StatusActive
Last updated in NPPESMar 21, 2019

Details

NPI
1841698677
Entity type
Individual (NPI-1)
Name
Stasia Anna Bailey
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 10, 2014
Last updated
Mar 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA.0004879COYes
363AM0700X Physician Assistant, Medical1871NE

Other names

  • Stasia Anna Langenfeld (Former Name)

Practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Phone 970-495-7000

Mailing address

Po Box 912215
Denver, CO 80291-2215

Phone 303-306-7783 · Fax 303-306-7753

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