Individual
CAITLIN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9100 E PANORAMA DR STE 250, CENTENNIAL, CO 80112-7212
(720) 666-4739
(833) 449-4351
Mailing address
9100 E PANORAMA DR STE 250, CENTENNIAL, CO 80112-7212
(720) 666-4739
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004412A
STATE LICENSE NUMBER
IN
01
—
10432
STATE LICENSE NUMBER
AZ
01
—
14921
STATE LICENSE NUMBER
MN
01
—
64522
STATE LICENSE NUMBER
CA
01
—
PA0003937
STATE LICENSE NUMBER
CO
Enumeration date
03/17/2014
Last updated
01/13/2025
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