Healthcare Provider Details

I. General information

NPI: 1467961508
Provider Name (Legal Business Name): SARAH WELCHERT COLLOPY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E 14TH AVE
DENVER CO
80218-1903
US

IV. Provider business mailing address

719 SAN MATEO BLVD NE
ALBUQUERQUE NM
87108-1434
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-5069
  • Fax:
Mailing address:
  • Phone: 505-944-2021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number342290
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996505-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: