Provider Demographics
NPI:1447934161
Name:ARMSTRONG, ASPEN MARIAH (PA-C)
Entity type:Individual
Prefix:
First Name:ASPEN
Middle Name:MARIAH
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 BAYWOODS DR
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-4540
Mailing Address - Country:US
Mailing Address - Phone:724-815-1661
Mailing Address - Fax:
Practice Address - Street 1:401 S PARK AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5741
Practice Address - Country:US
Practice Address - Phone:970-240-8199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0007956363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical