Healthcare Provider Details

I. General information

NPI: 1255932661
Provider Name (Legal Business Name): SAMANTHA ANN ZARINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 JOHNSON RD STE 200
GOLDEN CO
80401-6007
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-278-4600
  • Fax:
Mailing address:
  • Phone: 303-763-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006913
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: