Healthcare Provider Details

I. General information

NPI: 1114394277
Provider Name (Legal Business Name): SARAH VRABEL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7055 SAMUEL MORSE DR
COLUMBIA MD
21046-3439
US

IV. Provider business mailing address

7055 SAMUEL MORSE DR
COLUMBIA MD
21046-3439
US

V. Phone/Fax

Practice location:
  • Phone: 410-910-6700
  • Fax:
Mailing address:
  • Phone: 410-910-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001244081
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: