Provider Demographics
NPI:1497356554
Name:KEATON, SARAH (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KEATON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:CALLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24530-2538
Mailing Address - Country:US
Mailing Address - Phone:276-608-5836
Mailing Address - Fax:
Practice Address - Street 1:380 MAPLE RD
Practice Address - Street 2:
Practice Address - City:CALLANDS
Practice Address - State:VA
Practice Address - Zip Code:24530-2538
Practice Address - Country:US
Practice Address - Phone:276-608-5836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine