Healthcare Provider Details

I. General information

NPI: 1275360497
Provider Name (Legal Business Name): SARAH MEGAN HURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 S YOSEMITE ST
CENTENNIAL CO
80112-1406
US

IV. Provider business mailing address

1925 S LINCOLN ST
DENVER CO
80210-4009
US

V. Phone/Fax

Practice location:
  • Phone: 303-773-9000
  • Fax:
Mailing address:
  • Phone: 630-291-5450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0999528
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: