Healthcare Provider Details

I. General information

NPI: 1699111344
Provider Name (Legal Business Name): SARA SCHLICHTING N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ROPER

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 05/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2531 S SHIELDS ST #2H
FORT COLLINS CO
80526-1886
US

IV. Provider business mailing address

2531 S SHIELDS ST #2H
FORT COLLINS CO
80526-1886
US

V. Phone/Fax

Practice location:
  • Phone: 970-472-8333
  • Fax:
Mailing address:
  • Phone: 970-472-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0990590-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: