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NPI Code Detail

MEDICARE: SARA PERKINS NP

MEDICARE: SARA PERKINS 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
1363LF0000XFamily Nurse PractitionerAPN.0997193-NPCO

General Provider Information

NPI Number : 1538828694
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA PERKINS NP
Provider Business Mailing Address
First Line : 1195 DICHOSO ST
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-9679
Country : US
Telephone Number : 303-803-7411
Fax Number :
Provider Business Practice Location Address
First Line : 27B TALISMAN DR UNIT 3
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-7914
Country : US
Telephone Number : 970-372-0456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2021
Last Update Date : 01/16/2026

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