Healthcare Provider Details

I. General information

NPI: 1679840326
Provider Name (Legal Business Name): SARAH ELIZABETH THOMPSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ELIZABETH NELSON ARNP

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 07/09/2020
Certification Date: 07/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9137 E MINERAL CIR STE 110
CENTENNIAL CO
80112-3422
US

IV. Provider business mailing address

9137 E MINERAL CIR STE 110
CENTENNIAL CO
80112-3422
US

V. Phone/Fax

Practice location:
  • Phone: 813-625-0183
  • Fax:
Mailing address:
  • Phone: 813-625-0183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9294728
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberRN9294728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: