Healthcare Provider Details
I. General information
NPI: 1205313913
Provider Name (Legal Business Name): SARAH MORGAN FABER-CATANESE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2018
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
825 DILIGENCE DR STE 206
NEWPORT NEWS VA
23606-4272
US
IV. Provider business mailing address
825 DILIGENCE DR STE 206
NEWPORT NEWS VA
23606-4272
US
V. Phone/Fax
- Phone: 757-310-6900
- Fax: 757-240-5936
- Phone: 757-310-6900
- Fax: 757-240-5936
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 0024176304 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: