Provider Demographics
NPI:1134637820
Name:MITCHELL, SARAH ANN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10552 ANTLER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PEYTON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7092
Mailing Address - Country:US
Mailing Address - Phone:719-641-0574
Mailing Address - Fax:
Practice Address - Street 1:12001 SOUTH FWY STE 210
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7214
Practice Address - Country:US
Practice Address - Phone:817-293-8797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145942363LF0000X
CO0996565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine