Provider Demographics
NPI:1578826863
Name:EWER, SANDRA D (FNP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:D
Last Name:EWER
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 1:1420 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3735
Mailing Address - Country:US
Mailing Address - Phone:719-255-4444
Mailing Address - Fax:719-255-4446
Practice Address - Street 1:1420 AUSTIN BLUFFS PKWY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3733
Practice Address - Country:US
Practice Address - Phone:719-255-4444
Practice Address - Fax:719-255-4446
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP121045363LF0000X, 363LX0001X
COAPN.0996125-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology