Provider Demographics
NPI:1265890172
Name:SCOTT, SARAH L (APRN, PNP, RN, BSN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:APRN, PNP, RN, BSN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:STREDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, PNP, RN, BSN
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE # B615
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:303-724-2596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0991958-NP363LP0200X
COAPN.0991958-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics