Doctor Name: | SARAH SLOUGH WATKINS |
NPI Number: | 1619330495 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0024173433 |
Business Practice Address: | 50 Oldfield Rd Moneta, VA - 241214013 |
Business Phone Number: | 5404607830 |
Business Fax Number: | |
Mailing Address: | 50 Oldfield Rd, MONETA |
State: | VA |
Postal Code: | 241214013 |
Phone Number: | 5404607830 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2016 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024173433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |