Healthcare Provider Details

I. General information

NPI: 1174440978
Provider Name (Legal Business Name): SARAH MARGARET PETRIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARGARET WOODMANSEE

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 N ARENDELL AVE
ZEBULON NC
27597-8730
US

IV. Provider business mailing address

6310 TERRA VERDE DR UNIT 261
RALEIGH NC
27609-5398
US

V. Phone/Fax

Practice location:
  • Phone: 919-235-1965
  • Fax:
Mailing address:
  • Phone: 801-698-2911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024828
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: