Individual
SARA LYNN BERTELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1302 E 5TH ST, PUEBLO, CO 81001-3754
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8718
(719) 585-3057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1647885
CO
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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