Provider Demographics
NPI:1396873105
Name:SHAFF, MORGEN L (PA)
Entity type:Individual
Prefix:MS
First Name:MORGEN
Middle Name:L
Last Name:SHAFF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 7410886
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0884
Mailing Address - Country:US
Mailing Address - Phone:702-899-0595
Mailing Address - Fax:702-977-1496
Practice Address - Street 1:12230 LIONESS WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5603
Practice Address - Country:US
Practice Address - Phone:303-282-7772
Practice Address - Fax:702-977-1496
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2025-10-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0003201363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical