Healthcare Provider Details
I. General information
NPI: 1487565495
Provider Name (Legal Business Name): SAVANNAH R OPFERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14241 E 4TH AVE STE 300
AURORA CO
80011-8712
US
IV. Provider business mailing address
5673 S YAKIMA ST
AURORA CO
80015-6768
US
V. Phone/Fax
- Phone: 833-369-1144
- Fax:
- Phone: 720-227-3431
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: