Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle L Fussnecker, PA-C

Individual provider Medical Physician Assistant · NPI 1871047753

Michelle L Fussnecker, PA-C is a Medical Physician Assistant in Broomfield, Colorado. Works from 2 locations. Licensed in Colorado and New Mexico.

Licensed in
CO, NM
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6450 W 120th Ave Unit A
Broomfield, CO 80020
Phone: (720) 274-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 — (505) 888-1075

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004945 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2016-0060 (NM)

Record details

NPI number1871047753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2016
Last updated in NPPESJune 21, 2018

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