Provider Demographics
NPI:1467693028
Name:WOOD, SABRINA D (NP, CDE)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:D
Last Name:WOOD
Suffix:
Gender:F
Credentials:NP, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 COLISEUM DR STE 310
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6257
Mailing Address - Country:US
Mailing Address - Phone:757-827-2115
Mailing Address - Fax:757-510-9383
Practice Address - Street 1:4001 COLISEUM DR STE 310
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6257
Practice Address - Country:US
Practice Address - Phone:757-827-2115
Practice Address - Fax:757-510-9383
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168230363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily