Individual
SARA DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 743-5855
Mailing address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 421-6026
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
102618
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015602
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
02/26/2008
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