Individual
SARA PODCZERVINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13671 FIFE CT, COLORADO SPRINGS, CO 80921-1308
(719) 522-3537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996034-NP
CO
363LP0200X
Pediatric Nurse Practitioner
APN.0996034-NP
CO
Other
Enumeration date
11/06/2020
Last updated
08/03/2022
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