Individual
SARA PENROD PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 AZALEA DR APT J4, FORT COLLINS, CO 80526-5717
(815) 483-3889
Mailing address
3200 AZALEA DR APT J4, FORT COLLINS, CO 80526-5717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1662572
CO
171400000X
Health & Wellness Coach
1662572
CO
Other
Enumeration date
01/19/2024
Last updated
11/14/2025
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