Healthcare Provider Details

I. General information

NPI: 1902539430
Provider Name (Legal Business Name): SARAH MAY DEIGNAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 120
DENVER CO
80220-4000
US

IV. Provider business mailing address

4600 HALE PKWY STE 120
DENVER CO
80220-4000
US

V. Phone/Fax

Practice location:
  • Phone: 303-788-9293
  • Fax: 720-746-6420
Mailing address:
  • Phone: 303-788-9293
  • Fax: 720-746-6420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997705-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: