Healthcare Provider Details

I. General information

NPI: 1548164197
Provider Name (Legal Business Name): GOLDEN SAGE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2434 W 36TH AVE
DENVER CO
80211-2937
US

IV. Provider business mailing address

1500 N GRANT ST STE R
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 859-866-5041
  • Fax:
Mailing address:
  • Phone: 859-866-5041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALEXANDRA LETSINGER
Title or Position: NURSE PRACTITIONER
Credential: FNP
Phone: 859-866-5041