Healthcare Provider Details

I. General information

NPI: 1508447889
Provider Name (Legal Business Name): KATYA JOY SAENZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2021
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 EUDORA ST UNIT 203
DENVER CO
80220-4376
US

IV. Provider business mailing address

1805 SHEA CENTER DR STE 301
HIGHLANDS RANCH CO
80129-2277
US

V. Phone/Fax

Practice location:
  • Phone: 719-200-2081
  • Fax:
Mailing address:
  • Phone: 303-814-0505
  • Fax: 720-638-3402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006846
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: