Healthcare Provider Details

I. General information

NPI: 1366356354
Provider Name (Legal Business Name): SARAH NICOLE ESTENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NIKKI ESTENSON

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 W 122ND AVE STE 100
WESTMINSTER CO
80234-2075
US

IV. Provider business mailing address

3545 NEWLAND ST
WHEAT RIDGE CO
80033-6442
US

V. Phone/Fax

Practice location:
  • Phone: 303-853-3500
  • Fax:
Mailing address:
  • Phone: 303-853-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: