Provider Demographics
NPI:1225798481
Name:CONN, SARAH ANN (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:CONN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:FARLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:303 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-2838
Mailing Address - Country:US
Mailing Address - Phone:304-721-9300
Mailing Address - Fax:304-459-2873
Practice Address - Street 1:303 6TH AVE
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-2838
Practice Address - Country:US
Practice Address - Phone:304-721-9300
Practice Address - Fax:304-459-2873
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV111661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty