Provider Demographics
NPI:1255808028
Name:STRUCKMEYER, SARA JEAN (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JEAN
Last Name:STRUCKMEYER
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6184 FLATTOP ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-2178
Mailing Address - Country:US
Mailing Address - Phone:706-247-4018
Mailing Address - Fax:
Practice Address - Street 1:1658 COLE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3304
Practice Address - Country:US
Practice Address - Phone:303-747-5051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994237-CNM367A00000X
COAPN.0997204363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife