Provider Demographics
NPI:1487189981
Name:ECKHART, SARAH BARTEK (MSN, APN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BARTEK
Last Name:ECKHART
Suffix:
Gender:F
Credentials:MSN, APN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 RIDDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-6980
Mailing Address - Country:US
Mailing Address - Phone:720-474-0626
Mailing Address - Fax:
Practice Address - Street 1:1091 RIDDLEWOOD RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-6980
Practice Address - Country:US
Practice Address - Phone:720-474-0626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-22
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0177836163WP0200X
COAPN.0993289-NP208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0993289OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES
20172675OtherPEDIATRIC NURSING CERTIFICATION BOARD