Doctor Name: | SARA A DICKEY |
NPI Number: | 1215168075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | R186432 |
Business Practice Address: | 171 Taylor St Harpers Ferry, WV - 254253641 |
Business Phone Number: | 3045356343 |
Business Fax Number: | 3045356618 |
Mailing Address: | 2500 Foundation Way, MARTINSBURG |
State: | WV |
Postal Code: | 254019000 |
Phone Number: | 3042649202 |
Fax Number: | 3042649042 |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 02/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R186432 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |