MEDICARE: SARAH TROEMEL FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	177828	CO

General Provider Information

NPI Number	:	1043558109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH TROEMEL FNP

Provider Business Mailing Address
First Line	:	25 SOMMERLYN RD
Second Line	:	APT. 908
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-3452
Country	:	US
Telephone Number	:	303-681-1581
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 S 9TH ST
Second Line	:
City	:	CANON CITY
State	:	CO
Zip	:	81212-4911
Country	:	US
Telephone Number	:	719-269-8820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2013
Last Update Date	:	06/04/2014

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