Provider Demographics
NPI:1467421636
Name:SCHLENZ, SARAH ANNA MARIE (PAC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNA MARIE
Last Name:SCHLENZ
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:ANNA MARIE
Other - Last Name:LYDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:33674 OLD VALLEY PIKE
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657
Mailing Address - Country:US
Mailing Address - Phone:540-465-3751
Mailing Address - Fax:540-465-5008
Practice Address - Street 1:33674 OLD VALLEY PIKE
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657
Practice Address - Country:US
Practice Address - Phone:540-465-3751
Practice Address - Fax:540-465-5008
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110002194363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009419M13Medicare ID - Type Unspecified