Healthcare Provider Details

I. General information

NPI: 1013770726
Provider Name (Legal Business Name): SARA ALICE GEYER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 ARLINGTON BLVD STE 920
FALLS CHURCH VA
22042-2336
US

IV. Provider business mailing address

7818 CALPURNIA CT
MC LEAN VA
22102-2701
US

V. Phone/Fax

Practice location:
  • Phone: 703-241-2664
  • Fax: 703-241-5559
Mailing address:
  • Phone: 336-682-1084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0024189411
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: