Provider Demographics
NPI:1447238555
Name:COLEMAN, SARAH W (CNP, MSN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:W
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:CNP, MSN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3301 WOODBURN RD STE 309
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7308
Mailing Address - Country:US
Mailing Address - Phone:703-844-0171
Mailing Address - Fax:703-641-4675
Practice Address - Street 1:3301 WOODBURN RD STE 309
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7308
Practice Address - Country:US
Practice Address - Phone:703-844-0171
Practice Address - Fax:804-641-4675
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181278363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2522792Medicaid