Healthcare Provider Details

I. General information

NPI: 1790961746
Provider Name (Legal Business Name): CELESTE ANN SAWYER RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2008
Last Update Date: 01/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 RICHMOND HWY SUITE 202
ALEXANDRIA VA
22309-1586
US

IV. Provider business mailing address

8850 RICHMOND HWY SUITE 202
ALEXANDRIA VA
22309-1586
US

V. Phone/Fax

Practice location:
  • Phone: 703-704-7004
  • Fax:
Mailing address:
  • Phone: 703-704-7004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number0001137027
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: