Healthcare Provider Details

I. General information

NPI: 1568290708
Provider Name (Legal Business Name): AMBRA CONCETTA SAURINI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E 144TH AVE STE 100
THORNTON CO
80023-9210
US

IV. Provider business mailing address

805 E 144TH AVE STE 100
THORNTON CO
80023-9210
US

V. Phone/Fax

Practice location:
  • Phone: 720-772-8040
  • Fax: 720-805-1551
Mailing address:
  • Phone: 720-772-8040
  • Fax: 720-805-1551

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: