Healthcare Provider Details

I. General information

NPI: 1285259416
Provider Name (Legal Business Name): ERIN SAMANTHA MEJIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 06/05/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 INVERNESS DR W STE 400
ENGLEWOOD CO
80112-5072
US

IV. Provider business mailing address

5320 ROUTT CT
ARVADA CO
80002-1383
US

V. Phone/Fax

Practice location:
  • Phone: 866-686-2504
  • Fax:
Mailing address:
  • Phone: 720-446-9218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95014321
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0999914
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: