Southard, Sarah

Southard, Sarah is an individual health care provider with primary practice located at 102 Highland Ave Se , Roanoke VA 24013-2254. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Southard, Sarah can be contacted via phone (540) 985-9835.

Contact Information

Primary practice address
102 Highland Ave Se Roanoke VA 24013-2254
Phone: (540) 985-9835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001-078793 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024078793 Virginia

Profile Details

NPI number 1417929704
LBN Legal business name Southard, Sarah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417929704 NPPES
Virginia MEDICAID 007781105

Popular Providers