Provider Demographics
NPI:1811548662
Name:MANLEY, SARA LIN (APN, FNP-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LIN
Last Name:MANLEY
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7299 W CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5699
Mailing Address - Country:US
Mailing Address - Phone:505-321-6687
Mailing Address - Fax:
Practice Address - Street 1:7299 W CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5699
Practice Address - Country:US
Practice Address - Phone:505-321-6687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994974-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily