IndividualActive
Anastacia Wall, PA
NPI 1861660078 · Medical Physician Assistant · Aurora, CO
Provider details
- NPI number
- 1861660078
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA10005372 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 110429
Aurora, CO 80042-0429
Registry dates
- Enumerated
- 2008-02-11
- Last updated
- 2018-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.