Provider Demographics
NPI:1003611096
Name:KING, SARA BLANDING (RN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:BLANDING
Last Name:KING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14449 WOODLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6574
Mailing Address - Country:US
Mailing Address - Phone:804-721-8569
Mailing Address - Fax:
Practice Address - Street 1:14449 WOODLEIGH DR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-6574
Practice Address - Country:US
Practice Address - Phone:804-721-8569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001279659163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health