Provider Demographics
NPI:1891455804
Name:GALLEGOS, SARAH M (CNM)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:GALLEGOS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 S FIELD ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-7111
Mailing Address - Country:US
Mailing Address - Phone:303-570-1270
Mailing Address - Fax:
Practice Address - Street 1:9548 PARK MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5315
Practice Address - Country:US
Practice Address - Phone:720-848-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-19
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997096-CNM176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CORN.0190998OtherRN LICENSE
CORXN.0106123-CNMOtherRXN LICENSE
COAPN.09997096-CNMOtherCNM LICENSE