Provider Demographics
NPI:1639572464
Name:WERNER, SARAH KATHERINE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHERINE
Last Name:WERNER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:NEIKIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1870 AMHERST ST STE 2E
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2847
Mailing Address - Country:US
Mailing Address - Phone:540-667-4546
Mailing Address - Fax:540-667-6893
Practice Address - Street 1:1870 AMHERST ST STE 2E
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601
Practice Address - Country:US
Practice Address - Phone:540-667-4546
Practice Address - Fax:540-667-6893
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024172104367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1639572464Medicaid
VAQ48500BOtherMEDICARE