Provider Demographics
NPI:1952989204
Name:COLLAR, SABRAH JEAN CALLAHAN (P-MHNP)
Entity Type:Individual
Prefix:
First Name:SABRAH JEAN
Middle Name:CALLAHAN
Last Name:COLLAR
Suffix:
Gender:F
Credentials:P-MHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 SAN FELICE PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5947
Mailing Address - Country:US
Mailing Address - Phone:719-648-6369
Mailing Address - Fax:
Practice Address - Street 1:1115 ELKTON DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8507
Practice Address - Country:US
Practice Address - Phone:719-373-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO187352163WA0400X, 363LP0808X
COAPN.0996504-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)