Healthcare Provider Details

I. General information

NPI: 1386890945
Provider Name (Legal Business Name): SARA MICHELLE WESTERHAUS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 PAINTER DR STE 100
MONUMENT CO
80132-3439
US

IV. Provider business mailing address

1722 PAINTER DR STE 100
MONUMENT CO
80132-3439
US

V. Phone/Fax

Practice location:
  • Phone: 719-646-9995
  • Fax:
Mailing address:
  • Phone: 719-646-9995
  • Fax: 719-389-1191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number2639
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: