Provider Demographics
NPI:1871301325
Name:DEEL, SARAH ELIZABETH (APRN-FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:DEEL
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4712 BULL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:GRUNDY
Mailing Address - State:VA
Mailing Address - Zip Code:24614-6204
Mailing Address - Country:US
Mailing Address - Phone:276-477-0469
Mailing Address - Fax:
Practice Address - Street 1:258 N LEVISA RD
Practice Address - Street 2:
Practice Address - City:MOUTHCARD
Practice Address - State:KY
Practice Address - Zip Code:41548-8117
Practice Address - Country:US
Practice Address - Phone:606-835-2305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024192045363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily