Healthcare Provider Details

I. General information

NPI: 1568786879
Provider Name (Legal Business Name): EMILY A DRANGINIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMILY DRANGINIS PA

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4567 E 9TH AVE
DENVER CO
80220-3908
US

IV. Provider business mailing address

PO BOX 173862
DENVER CO
80217-3862
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-2455
  • Fax: 303-306-7753
Mailing address:
  • Phone: 303-306-7783
  • Fax: 303-306-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0003424
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number013713
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: