Healthcare Provider Details

I. General information

NPI: 1144639139
Provider Name (Legal Business Name): SARAH PAPOLA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH DAVIS

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 10/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8531
  • Fax: 877-544-7752
Mailing address:
  • Phone: 202-444-8531
  • Fax: 877-544-7752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024171939
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1014348
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: