Provider Demographics
NPI:1770967820
Name:MCINTYRE, SARAH ANN (NP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ANN
Other - Last Name:STALNAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:800 GARFIELD AVE
Mailing Address - Street 2:HOSPITALIST DEPARTMENT
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101
Mailing Address - Country:US
Mailing Address - Phone:304-424-2111
Mailing Address - Fax:304-420-7162
Practice Address - Street 1:800 GARFIELD AVE
Practice Address - Street 2:HOSPITALIST DEPARTMENT
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101
Practice Address - Country:US
Practice Address - Phone:304-420-7161
Practice Address - Fax:304-420-7162
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN976968-NP-C363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily