Provider Demographics
NPI:1861186512
Name:WILSON, SARAH CATHRYN (MA, MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHRYN
Last Name:WILSON
Suffix:
Gender:F
Credentials:MA, MS
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CATHRYN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4424 S FUNDY ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5410
Mailing Address - Country:US
Mailing Address - Phone:603-762-6014
Mailing Address - Fax:
Practice Address - Street 1:3055 ROSLYN ST UNIT 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3324
Practice Address - Country:US
Practice Address - Phone:720-848-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program