Provider Demographics
NPI:1194321596
Name:DIRECT CARE NP
Entity type:Organization
Organization Name:DIRECT CARE NP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:719-640-6041
Mailing Address - Street 1:4499 S ELLESMERE ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1963
Mailing Address - Country:US
Mailing Address - Phone:719-640-6041
Mailing Address - Fax:
Practice Address - Street 1:2210 EAST LASALLE ST.
Practice Address - Street 2:102
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909
Practice Address - Country:US
Practice Address - Phone:719-900-5092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care