Provider Demographics
NPI:1871065706
Name:DATHE, SARAH ROSE (PA-S)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ROSE
Last Name:DATHE
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6575 ZANG ST
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-2237
Mailing Address - Country:US
Mailing Address - Phone:720-257-8832
Mailing Address - Fax:
Practice Address - Street 1:11750 W 2ND PL STE 360
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1756
Practice Address - Country:US
Practice Address - Phone:720-473-7120
Practice Address - Fax:720-400-8562
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant