Basic Information
Provider Information
NPI: 1437388121
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAGLE-YANG
FirstName: SARAH
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 110429
Address2:  
City: AURORA
State: CO
PostalCode: 800420429
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 13001 E 17TH PL FL 2
Address2:  
City: AURORA
State: CO
PostalCode: 800452570
CountryCode: US
TelephoneNumber: 3037241000
FaxNumber: 3037249472
Other Information
ProviderEnumerationDate: 07/02/2009
LastUpdateDate: 03/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0015X35.093435OHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
2084P0015XDR.0063217COY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine

No ID Information.


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