Provider Demographics
NPI:1962633800
Name:STENSEN, ERIKA ROBYN (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ROBYN
Last Name:STENSEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 THREE SPRINGS BLVD STE 275
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8296
Mailing Address - Country:US
Mailing Address - Phone:970-764-3740
Mailing Address - Fax:970-764-3643
Practice Address - Street 1:1010 THREE SPRINGS BLVD STE 275
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8296
Practice Address - Country:US
Practice Address - Phone:970-764-3740
Practice Address - Fax:970-764-3643
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0003705363A00000X
MEPA001173363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant