Provider Demographics
NPI:1558806026
Name:STALDER, SARAH (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:STALDER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 W OXFORD AVE UNIT G-3
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-3115
Mailing Address - Country:US
Mailing Address - Phone:303-315-6140
Mailing Address - Fax:303-586-4593
Practice Address - Street 1:3525 W OXFORD AVE UNIT G-3
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236-3115
Practice Address - Country:US
Practice Address - Phone:303-315-6140
Practice Address - Fax:303-586-4593
Is Sole Proprietor?:No
Enumeration Date:2016-12-20
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992812-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1750657722OtherPRACTICE NATIONAL PROVIDER IDENTIFER #