Healthcare Provider Details

I. General information

NPI: 1649180647
Provider Name (Legal Business Name): SARAH NICOLE DEVLIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12650 W 64TH AVE UNIT E501
ARVADA CO
80004-3887
US

IV. Provider business mailing address

9387 W IOWA CIR
LAKEWOOD CO
80232-6470
US

V. Phone/Fax

Practice location:
  • Phone: 303-431-4127
  • Fax:
Mailing address:
  • Phone: 215-588-9001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001926-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: