Healthcare Provider Details
I. General information
NPI: 1033530209
Provider Name (Legal Business Name): SARAH E. SIMERLY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/13/2013
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 HOSPITAL DR
GALAX VA
24333-2227
US
IV. Provider business mailing address
266 LARKMEADOW CIR
BLUFF CITY TN
37618-2010
US
V. Phone/Fax
- Phone: 276-236-8181
- Fax:
- Phone: 423-557-9116
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024188158 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 0024188158 |
| License Number State | VA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 18206 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: