Provider Demographics
NPI:1457068736
Name:DADSON, SANDRA ARABA
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ARABA
Last Name:DADSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3081 NAMIB DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80939-9720
Mailing Address - Country:US
Mailing Address - Phone:267-406-8844
Mailing Address - Fax:719-745-7724
Practice Address - Street 1:3081 NAMIB DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80939-9720
Practice Address - Country:US
Practice Address - Phone:267-406-8844
Practice Address - Fax:719-745-7724
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04KEWL251E00000X
CO04VV72376J00000X
CO049IK1253Z00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker