MEDICARE: SARA PURVIS

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	133VN1005X	Renal Nutrition Registered Dietitian	1018836	CO
2	133V00000X	Registered Dietitian	1018836	CO

General Provider Information

NPI Number	:	1477918803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA PURVIS

Provider Business Mailing Address
First Line	:	2000 16TH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 16TH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-5117
Country	:	US
Telephone Number	:	303-405-2100
Fax Number	:

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

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	12/09/2025

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Directions to “ SARA PURVIS ” Practice Location

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