Provider Demographics
NPI:1689044208
Name:HILL, SARAH MCCLURE (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MCCLURE
Last Name:HILL
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:WALLACE
Other - Last Name:MCCLURE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-PC
Mailing Address - Street 1:6355 WALKER LANE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310
Mailing Address - Country:US
Mailing Address - Phone:703-924-2100
Mailing Address - Fax:703-922-6067
Practice Address - Street 1:6355 WALKER LANE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310
Practice Address - Country:US
Practice Address - Phone:703-924-2100
Practice Address - Fax:703-922-6067
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001263301163WP0200X
VA0024172979363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics