Provider Demographics
NPI:1487974804
Name:SEXTON, LAURA ANNE (CRNP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ANNE
Last Name:SEXTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 ALLISON WAY APT 208
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4453
Mailing Address - Country:US
Mailing Address - Phone:303-557-8752
Mailing Address - Fax:
Practice Address - Street 1:3400 YOUNGFIELD ST
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5245
Practice Address - Country:US
Practice Address - Phone:303-459-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992231363LP2300X
COAPN.0992231-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031788290001Medicaid
PA1031788290001Medicaid