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NPI Code Detail

MEDICARE: RACHEL MANN SABOLISH RN, NP

MEDICARE: RACHEL MANN SABOLISH RN, NP
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
1363LA2200XAdult Health Nurse Practitioner20620CA
2363LA2200XAdult Health Nurse Practitioner0991141CO
3363LG0600XGerontology Nurse Practitioner20620CA
4364SG0600XGerontology Clinical Nurse Specialist0991141CO
5363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0991141-NPCO

General Provider Information

NPI Number : 1134498710
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MANN SABOLISH RN, NP
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1693 QUENTIN ST
Second Line :
City : AURORA
State : CO
Zip : 80045-2518
Country : US
Telephone Number : 720-848-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2011
Last Update Date : 08/09/2024

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