Healthcare Provider Details

I. General information

NPI: 1801586888
Provider Name (Legal Business Name): ALEXANDRA ELIZABETH SKENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E HAMPDEN AVE STE 110
ENGLEWOOD CO
80113-2736
US

IV. Provider business mailing address

PO BOX 172263
DENVER CO
80217-2263
US

V. Phone/Fax

Practice location:
  • Phone: 303-515-2320
  • Fax: 720-360-1195
Mailing address:
  • Phone: 888-987-7975
  • Fax: 405-792-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: