Healthcare Provider Details

I. General information

NPI: 1336662956
Provider Name (Legal Business Name): EMILY CAIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8331 S CONTINENTAL DIVIDE RD
LITTLETON CO
80127-4231
US

IV. Provider business mailing address

9094 E. MINERAL AVE. SUITE 100
CENTENNIAL CO
80112-7201
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-3200
  • Fax: 303-904-8510
Mailing address:
  • Phone: 303-694-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: