Healthcare Provider Details

I. General information

NPI: 1902238041
Provider Name (Legal Business Name): SARAH MOBLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7345 S PIERCE ST STE 110
LITTLETON CO
80128-4592
US

IV. Provider business mailing address

7345 S PIERCE ST STE 110
LITTLETON CO
80128-4592
US

V. Phone/Fax

Practice location:
  • Phone: 720-770-1492
  • Fax:
Mailing address:
  • Phone: 720-770-1492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.411083-1
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1620741
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRXN.0103549-NP
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number17126-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: