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NPI Code Detail

MEDICARE: SARAH EVANS FLYNN FNP-C

MEDICARE: SARAH EVANS FLYNN FNP-C
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
1163W00000XRegistered Nurse105365CO
2363LF0000XFamily Nurse Practitioner105365CO

General Provider Information

NPI Number : 1750476560
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH EVANS FLYNN FNP-C
Provider Business Mailing Address
First Line : 1505 S FEDERAL BLVD
Second Line : TAKE CARE CLINIC
City : DENVER
State : CO
Zip : 80219-4722
Country : US
Telephone Number : 303-936-0223
Fax Number : 303-936-0227
Provider Business Practice Location Address
First Line : 1505 S FEDERAL BLVD
Second Line : TAKE CARE CLINIC
City : DENVER
State : CO
Zip : 80219-4722
Country : US
Telephone Number : 303-936-0223
Fax Number : 303-936-0227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 08/04/2021

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