Provider Demographics
NPI:1275417297
Name:SHABANY, SARA Z (DNP, RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:Z
Last Name:SHABANY
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10555 W JEWELL AVE APT 26-304
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-4850
Mailing Address - Country:US
Mailing Address - Phone:314-602-5593
Mailing Address - Fax:
Practice Address - Street 1:10555 W JEWELL AVE APT 26-304
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-4850
Practice Address - Country:US
Practice Address - Phone:314-602-5593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1702083163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse