Provider Demographics
NPI:1154667707
Name:TYLER, SARAH LAUDERDALE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LAUDERDALE
Last Name:TYLER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:LAUDERDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2460 W 26TH AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5308
Mailing Address - Country:US
Mailing Address - Phone:303-698-0333
Mailing Address - Fax:303-698-0198
Practice Address - Street 1:2460 W 26TH AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5308
Practice Address - Country:US
Practice Address - Phone:303-698-0333
Practice Address - Fax:303-698-0198
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990589-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily