NPI 1013252642

Terra Lynn Bookout, MSPAC

Practitioner Physician Assistant Englewood, CO

Practice location

Address: 125 Inverness Dr E Suite 240, Englewood, CO 80112-5137
Phone: (720) 863-1004
Mailing address: 2416 Black Duck Ave., Johnstown, CO 80534

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3458 (CO)

Other Physician Assistant providers in Colorado →

Registry record

NPI: 1013252642
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2012
Record last updated: 8 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.