IndividualActive
Amanda Waugh, PHYSICIAN ASSISTANT
NPI 1184874919 · Surgical Physician Assistant · Colorado Springs, CO
Provider details
- NPI number
- 1184874919
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 2665 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1400 E Boulder St
Suite 600
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
Approximate (ZIP-level) locationGet directions
Mailing address
1400 E Boulder St
Colorado Springs, CO 80909-5533
Registry dates
- Enumerated
- 2008-09-29
- Last updated
- 2020-02-10
- Certified
- 2020-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.