Healthcare Provider Details

I. General information

NPI: 1194743609
Provider Name (Legal Business Name): SARAH LUISE HENN M.D.,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 10/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 14TH ST., N.W.
WASHINGTON DC
20009
US

IV. Provider business mailing address

1701 14TH ST., N.W.
WASHINGTON DC
20009
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-6174
  • Fax: 202-745-0238
Mailing address:
  • Phone: 202-745-6174
  • Fax: 202-745-0238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD64777
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: