Provider Demographics
NPI:1366498081
Name:SARTZ, DENISE ANN (MS, AOCN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ANN
Last Name:SARTZ
Suffix:
Gender:F
Credentials:MS, AOCN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E. 23RD STREET
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001
Mailing Address - Country:US
Mailing Address - Phone:307-633-7777
Mailing Address - Fax:307-432-6641
Practice Address - Street 1:214 E. 23RD STREET
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001
Practice Address - Country:US
Practice Address - Phone:307-633-7777
Practice Address - Fax:307-432-6641
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91400363LF0000X
WY16274.1045363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO65127013Medicaid
WY1366498081Medicaid
CO65127013Medicaid
WYW24024Medicare PIN