Provider Demographics
NPI:1922983493
Name:ANDRYSHAK, SARA (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ANDRYSHAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 ICEBERG PASS WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3468
Mailing Address - Country:US
Mailing Address - Phone:719-373-0972
Mailing Address - Fax:
Practice Address - Street 1:5921 ICEBERG PASS WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3468
Practice Address - Country:US
Practice Address - Phone:719-373-0972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO200127163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator