Healthcare Provider Details
I. General information
NPI: 1265254064
Provider Name (Legal Business Name): SARAH REES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/31/2024
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2509 RESEARCH BLVD
FORT COLLINS CO
80526-8108
US
IV. Provider business mailing address
2509 RESEARCH BLVD
FORT COLLINS CO
80526-8108
US
V. Phone/Fax
- Phone: 970-224-1550
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP2201X |
| Taxonomy | Ambulatory Care Registered Nurse |
| License Number | RN.0204012 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: