Individual provider · Type 1 NPI

Sara Deatherage, FNP-C

Family Nurse Practitioner · Virginia Beach, VA

NPI number 1104374693 Active

Practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295

Other practice locations

  • 940 General Booth Blvd, Virginia Beach, VA 23451-4861 · (757) 425-3610

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X819106 (CA)
Family Nurse Practitioner Primary 363LF0000X0024177684 (VA)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

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About NPI 1104374693

Sara Deatherage, FNP-C's National Provider Identifier is 1104374693, issued on Sep 14, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 21, 2024.