Healthcare Provider Details

I. General information

NPI: 1972436111
Provider Name (Legal Business Name): ZEKARIAS ASHENAFI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

901 W HAMPDEN AVE UNIT 103
ENGLEWOOD CO
80110-7330
US

IV. Provider business mailing address

17502 E DICKENSON PL
AURORA CO
80013-4178
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-1699
  • Fax:
Mailing address:
  • Phone: 720-926-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001892-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: