Healthcare Provider Details
I. General information
NPI: 1144227117
Provider Name (Legal Business Name): SARAH KATHLEEN MEYER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2005
Last Update Date: 06/24/2024
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9548 PARK MEADOWS DR
LONE TREE CO
80124-5315
US
IV. Provider business mailing address
6647 S CLARKSON ST
CENTENNIAL CO
80121
US
V. Phone/Fax
- Phone: 720-848-0000
- Fax:
- Phone: 303-910-0979
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 175671 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: