Healthcare Provider Details

I. General information

NPI: 1255857413
Provider Name (Legal Business Name): SARAH ZUKOWSKI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2017
Last Update Date: 08/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

8335 MAHOGANY WOOD CT
COLORADO SPRINGS CO
80927-9640
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993311
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: