Healthcare Provider Details

I. General information

NPI: 1760909980
Provider Name (Legal Business Name): SARAH A TOWNSEND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 08/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11245 HURON ST
WESTMINSTER CO
80234-2806
US

IV. Provider business mailing address

920 W 72ND AVE
DENVER CO
80221-2708
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone: 303-667-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number0198705
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: