SARA BANNON APNP NPI 1174803092

NPI Information

NPI: 1174803092
Provider Name: SARA BANNON, APNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1900 WARDENBURG DRIVE
BOULDER, CO
ZIP 80309
Phone: (303) 492-2277
Get Directions

Sara Bannon, APNP is a psychiatric/mental health nurse practitioner in Boulder, CO. Sara Bannon, APNP NPI is 1174803092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 WARDENBURG DRIVE
BOULDER, CO
ZIP 80309-365
Phone: (303) 492-2277

The NPI 1174803092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2011 and was last updated on 7/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LSW.0000000432	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	C-APN.0001798-C-NP	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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