Healthcare Provider Details
I. General information
NPI: 1770245508
Provider Name (Legal Business Name): SABRINA KAY AREHART NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/08/2021
Last Update Date: 06/24/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
640 INDEPENDENCE PARKWAY
CHESAPEAKE VA
23320-3706
US
IV. Provider business mailing address
640 INDEPENDENCE PKWY STE 100
CHESAPEAKE VA
23320-5205
US
V. Phone/Fax
- Phone: 757-420-0530
- Fax:
- Phone: 757-420-0530
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 0024182761 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024182761 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: