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NPI Code Detail

MEDICARE: MS. SARAH JOHNS OLIVER FNP-BC

MEDICARE: MS. SARAH JOHNS OLIVER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024180058VA

General Provider Information

NPI Number : 1770182891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH JOHNS OLIVER FNP-BC
Provider Business Mailing Address
First Line : 104 NEWKIRK CT
Second Line :
City : PURCELLVILLE
State : VA
Zip : 20132-3366
Country : US
Telephone Number : 571-271-7496
Fax Number :
Provider Business Practice Location Address
First Line : 1830 TOWN CENTER DR STE 405
Second Line :
City : RESTON
State : VA
Zip : 20190-3218
Country : US
Telephone Number : 703-481-9191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 10/20/2020

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Directions to “ MS. SARAH JOHNS OLIVER FNP-BC” Practice Location

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