Sandee Cysewski
Individual provider Active NPI Registered Nurse · Granby, CO
NPI 1386017671 · NPPES record last updated Nov 9, 2015
Key facts
- NPI
- 1386017671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN0122403 (CO)
- Practice address
- 40 Fox Drive 103B #2434
Granby, CO 80446 - Phone
- (303) 332-3866
- NPI assigned
- Nov 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0122403 | CO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0122403 | CO | Yes |
Addresses
Primary practice location
40 Fox Drive 103B #2434
Granby, CO 80446
Mailing address
40 Fox Drive 103B PO 2434
Granby, CO 80446
Phone (303) 332-3866
Other providers in Granby, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.