Provider Demographics
NPI:1790011641
Name:STITES, SARAH ANNE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:STITES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:ANNE
Other - Last Name:STITES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:10729 KIPLING WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7313
Mailing Address - Country:US
Mailing Address - Phone:720-296-1722
Mailing Address - Fax:
Practice Address - Street 1:8383 WEST ALAMEDA AVENUE
Practice Address - Street 2:LAKEWOOD MEDICAL OFFICE
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:303-614-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46483164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse