IndividualActive
Amanda Mixon, PA-C
NPI 1174795017 · Medical Physician Assistant · Longmont, CO
Provider details
- NPI number
- 1174795017
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA.0002872 (CO)
Practice location
1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617
Phone: (720) 494-4700
Fax: (720) 494-4706
Mailing address
1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617
Registry dates
- Enumerated
- 2008-04-01
- Last updated
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.