MEDICARE: MS. SARAH M PACE BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.1669179	CO

General Provider Information

NPI Number	:	1235741687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH M PACE BSN, RN

Provider Business Mailing Address
First Line	:	3220 N ACADEMY BLVD STE 3
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5115
Country	:	US
Telephone Number	:	719-747-2084
Fax Number	:	719-931-1323

Provider Business Practice Location Address
First Line	:	3220 N ACADEMY BLVD STE 3
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-5115
Country	:	US
Telephone Number	:	719-747-2084
Fax Number	:	719-931-1323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	05/08/2026

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