Individual
SARA TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
4735 JAMESTOWN DR, COLORADO SPRINGS, CO 80918-2725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1639123
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
0997641-CRNA
CO
Other
Enumeration date
04/20/2022
Last updated
06/14/2022
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