Healthcare Provider Details

I. General information

NPI: 1932057262
Provider Name (Legal Business Name): WEIGHT LOSS NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12650 W 64TH AVE UNIT 207
ARVADA CO
80004-3893
US

IV. Provider business mailing address

12650 W 64TH AVE UNIT 207
ARVADA CO
80004-3893
US

V. Phone/Fax

Practice location:
  • Phone: 720-340-8154
  • Fax: 303-385-0079
Mailing address:
  • Phone: 720-340-8154
  • Fax: 303-385-0079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN ERIN SORENSEN
Title or Position: NP-C, ONWER
Credential: NP-C
Phone: 303-249-8728