Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN.0990453-NP | CO |
NPI | 1043569304 |
---|---|
Provider Name | Sarah L Diemert |
First Address | Centennial, CO 80015-4118 |
Second Address | Denver, CO 80207-1630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2012 |
Last Update Date | 12/11/2015 |