Individual
SABRA PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S. MAIN ST, LAMAR, CO 81052
(719) 336-8721
Mailing address
1001 S. MAIN ST, LAMAR, CO 81052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1649456
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649456
COLORADO RN LICENSE
CO
Enumeration date
09/16/2019
Last updated
11/27/2023
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