Healthcare Provider Details

I. General information

NPI: 1952989204
Provider Name (Legal Business Name): SABRAH JEAN CALLAHAN COLLAR P-MHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 INVERNESS DR STE 400
COLORADO SPRINGS CO
80910-3739
US

IV. Provider business mailing address

4103 SAN FELICE PT
COLORADO SPRINGS CO
80906-5947
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 719-648-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0996504-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number187352
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number187352
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: