Provider Demographics
NPI:1407528227
Name:HUNT, SARAH JEAN (MSN, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEAN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSN, CRNA
Other - Prefix:MRS
Other - First Name:SARAH
Other - Middle Name:JEAN
Other - Last Name:KOPRIVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, CRNA
Mailing Address - Street 1:119 GRAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23664-1954
Mailing Address - Country:US
Mailing Address - Phone:239-206-0342
Mailing Address - Fax:
Practice Address - Street 1:2 BERNARDINE DR
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4404
Practice Address - Country:US
Practice Address - Phone:757-886-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC138641367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9387058OtherFL DOH
138641OtherNBCRNA