Provider Demographics
NPI:1669864591
Name:LARTEY, SARAH CALVERT (CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CALVERT
Last Name:LARTEY
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CALVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP
Mailing Address - Street 1:1618 NEWTON ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2318
Mailing Address - Country:US
Mailing Address - Phone:610-283-6994
Mailing Address - Fax:
Practice Address - Street 1:2401 BLUERIDGE AVE STE 210
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4517
Practice Address - Country:US
Practice Address - Phone:301-933-6440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR206580363LP0200X
DCNP500002167363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics