Healthcare Provider Details

I. General information

NPI: 1255268967
Provider Name (Legal Business Name): PHILIPPA ASANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4455 E 12TH AVE
DENVER CO
80220-2415
US

IV. Provider business mailing address

22323 E 6TH PL
AURORA CO
80018-4763
US

V. Phone/Fax

Practice location:
  • Phone: 309-261-4766
  • Fax: 309-261-4766
Mailing address:
  • Phone: 309-261-4766
  • Fax: 309-261-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.115346
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: