Provider Demographics
NPI:1396015483
Name:KERTZ, SABRINA YVETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:YVETTE
Last Name:KERTZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:405 CASTLE CREEK RD
Mailing Address - Street 2:6
Mailing Address - City:ASPEN
Mailing Address - State:CO
Mailing Address - Zip Code:81611-3125
Mailing Address - Country:US
Mailing Address - Phone:970-920-5420
Mailing Address - Fax:970-920-5419
Practice Address - Street 1:405 CASTLE CREEK RD
Practice Address - Street 2:6
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-3125
Practice Address - Country:US
Practice Address - Phone:970-920-5420
Practice Address - Fax:970-920-5419
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO127099163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse