Provider Demographics
NPI:1396850079
Name:DIAL, SARAH HARWOOD (RN, CNS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HARWOOD
Last Name:DIAL
Suffix:
Gender:F
Credentials:RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11714 PROVIDENCE CIR
Mailing Address - Street 2:UNIT J
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3560
Mailing Address - Country:US
Mailing Address - Phone:703-464-9090
Mailing Address - Fax:
Practice Address - Street 1:1850 CAMERON GLEN DR
Practice Address - Street 2:SUITE 600
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3363
Practice Address - Country:US
Practice Address - Phone:703-481-4094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001184636163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management