Healthcare Provider Details

I. General information

NPI: 1669900874
Provider Name (Legal Business Name): SARAH LUDMER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 06/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 14TH ST NW
WASHINGTON DC
20009-4308
US

IV. Provider business mailing address

2633 16TH ST NW APT 3E
WASHINGTON DC
20009-4298
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR207989
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001271855
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN1031773
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1031773
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: