Healthcare Provider Details

I. General information

NPI: 1770114258
Provider Name (Legal Business Name): SARAH GRACE SWEENEY RN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 AURORA CT
AURORA CO
80045-2517
US

IV. Provider business mailing address

249 WILLOW ST APT 2
NEW HAVEN CT
06511-2440
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-1738
  • Fax: 720-848-1844
Mailing address:
  • Phone: 903-258-3341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: