Healthcare Provider Details

I. General information

NPI: 1487037537
Provider Name (Legal Business Name): KATIE STEFANI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE STE 330
DENVER CO
80220-3930
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-4076
  • Fax: 303-320-0439
Mailing address:
  • Phone: 303-763-4900
  • Fax: 303-763-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996879-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: