Provider Demographics
NPI:1871739847
Name:CHAND, SHEENA ELSPET (PA)
Entity type:Individual
Prefix:
First Name:SHEENA
Middle Name:ELSPET
Last Name:CHAND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:SHEENA
Other - Middle Name:ELSPET
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2350 17TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-1738
Mailing Address - Country:US
Mailing Address - Phone:038-483-8334
Mailing Address - Fax:720-613-0249
Practice Address - Street 1:2350 17TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-1738
Practice Address - Country:US
Practice Address - Phone:038-483-8334
Practice Address - Fax:720-613-0249
Is Sole Proprietor?:No
Enumeration Date:2008-12-22
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20027363AM0700X
COPA0003560363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30923018Medicaid