Provider Demographics
NPI:1043550163
Name:SARTEN, MICHAEL DALE (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DALE
Last Name:SARTEN
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7614
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-0614
Mailing Address - Country:US
Mailing Address - Phone:833-226-7624
Mailing Address - Fax:833-269-7474
Practice Address - Street 1:363 W DRAKE RD STE 11
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-2882
Practice Address - Country:US
Practice Address - Phone:833-226-7624
Practice Address - Fax:833-269-7474
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0993066363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health