Individual
SARAH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0990007-NP
CO
363LP0200X
Pediatric Nurse Practitioner
990007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59923377
—
CO
Enumeration date
09/02/2010
Last updated
07/26/2019
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