Healthcare Provider Details
I. General information
NPI: 1295545614
Provider Name (Legal Business Name): SARAH ELIZABETH MCDONALD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/08/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5501 GREENWICH RD
VIRGINIA BEACH VA
23462-6540
US
IV. Provider business mailing address
5501 GREENWICH RD
VIRGINIA BEACH VA
23462-6540
US
V. Phone/Fax
- Phone: 757-497-8400
- Fax:
- Phone: 757-497-8400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 0024179373 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: