Basic Information
Provider Information
NPI: 1922300490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARROW
FirstName: SARAH
MiddleName: R
NamePrefix: MRS.
NameSuffix:  
Credential: NPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STRAZAR
OtherFirstName: SARAH
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3640 HIGH ST
Address2: SUITE 3B
City: PORTSMOUTH
State: VA
PostalCode: 237073213
CountryCode: US
TelephoneNumber: 7574523400
FaxNumber: 7574523402
Practice Location
Address1: 3640 HIGH ST
Address2: SUITE 3B
City: PORTSMOUTH
State: VA
PostalCode: 237073213
CountryCode: US
TelephoneNumber: 7574523400
FaxNumber: 7574523402
Other Information
ProviderEnumerationDate: 12/03/2010
LastUpdateDate: 04/02/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X0001223081VAN Nursing Service ProvidersRegistered Nurse 
363LF0000X0024168984VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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