MEDICARE: SARAH ZAHNEN CPNP

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
1	363LP0200X	Pediatric Nurse Practitioner	0024172094	VA

General Provider Information

NPI Number	:	1982008405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ZAHNEN CPNP

Provider Business Mailing Address
First Line	:	5021 24TH ST N
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22207-2613
Country	:	US
Telephone Number	:	571-379-1533
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 LITTLE RIVER TPKE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-5000
Country	:	US
Telephone Number	:	703-914-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	10/13/2014

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