Healthcare Provider Details

I. General information

NPI: 1891670550
Provider Name (Legal Business Name): SARA BARRITEAU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 FAIR RIDGE DR STE 301
FAIRFAX VA
22033-2917
US

IV. Provider business mailing address

8318 DOUBLE EAGLE ST
GAINESVILLE VA
20155-3862
US

V. Phone/Fax

Practice location:
  • Phone: 703-569-8400
  • Fax:
Mailing address:
  • Phone: 703-357-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024194256
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: