Healthcare Provider Details

I. General information

NPI: 1740498807
Provider Name (Legal Business Name): SANDRA FELIX LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 03/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E 20TH AVE
DENVER CO
80205-5423
US

IV. Provider business mailing address

23 S EAGLE CIR
AURORA CO
80012-1529
US

V. Phone/Fax

Practice location:
  • Phone: 303-764-4810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number15589
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: