Provider Demographics
NPI:1881106037
Name:HORAN, SARAH SEIBERLING FULTON (CPNP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:SEIBERLING FULTON
Last Name:HORAN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SEIBERLING FULTON
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5854 BUFFALO RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EARLYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22936-1703
Mailing Address - Country:US
Mailing Address - Phone:434-806-7734
Mailing Address - Fax:
Practice Address - Street 1:4687 POUNCEY TRACT RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5802
Practice Address - Country:US
Practice Address - Phone:434-806-7734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024175375363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics