Healthcare Provider Details
I. General information
NPI: 1275180432
Provider Name (Legal Business Name): KATHERINE MARIE SABIN DNP, APRN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/22/2019
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 COOK ST STE 412
DENVER CO
80206-5340
US
IV. Provider business mailing address
2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US
V. Phone/Fax
- Phone: 720-516-9413
- Fax: 720-516-9431
- Phone: 970-624-4451
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 230375 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | APN.0995799-NP |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | APN.0995799-NP |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: