Provider Demographics
NPI:1558881060
Name:WINSOR, SARA B (FNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:WINSOR
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42498 COUNTY ROAD 37
Mailing Address - Street 2:
Mailing Address - City:AULT
Mailing Address - State:CO
Mailing Address - Zip Code:80610-9652
Mailing Address - Country:US
Mailing Address - Phone:1970-631-1482
Mailing Address - Fax:
Practice Address - Street 1:1011 39TH AVE STE A
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2504
Practice Address - Country:US
Practice Address - Phone:970-351-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993287-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily