Provider Demographics
NPI:1144666306
Name:TAYLOR, SARAH BENNETT (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BENNETT
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6909 S HOLLY CR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-694-2323
Mailing Address - Fax:303-694-9191
Practice Address - Street 1:6909 S HOLLY CIR
Practice Address - Street 2:SUITE 150
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1042
Practice Address - Country:US
Practice Address - Phone:303-694-2323
Practice Address - Fax:303-694-9191
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1437363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant