Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Natalie Mannon Ibrahim, PA-C

Individual provider Physician Assistant · NPI 1285173203

Natalie Mannon Ibrahim, PA-C is a Physician Assistant in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2017.

Licensed in
CO
In the registry since
2017
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

777 29th St Ste 301
Boulder, CO 80303-2316
Phone: (303) 440-8243
Fax: (303) 440-0292
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0004763 (CO)

Record details

NPI number1285173203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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