Healthcare Provider Details

I. General information

NPI: 1487580213
Provider Name (Legal Business Name): SARA ALI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18646 E DORADO DR
AURORA CO
80015-5121
US

IV. Provider business mailing address

18646 E DORADO DR
AURORA CO
80015-5121
US

V. Phone/Fax

Practice location:
  • Phone: 303-981-0795
  • Fax:
Mailing address:
  • Phone: 303-981-0795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1002051-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: