Individual
SARAH KATE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSNL, ACAGNP-BC
Contact information
Practice address
115 E RIVERWALK UNIT 200, PUEBLO, CO 81003-3320
(719) 543-8346
(719) 545-1829
Mailing address
PO BOX 7702, LOVELAND, CO 80537-0702
(970) 663-2742
(970) 342-2093
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0992793
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0992793-NP
CO
363LG0600X
Gerontology Nurse Practitioner
0992793
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992793
STATE NP LICENSE
CO
Enumeration date
02/06/2017
Last updated
07/07/2021
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