Individual
SARA CAMPBELL HALLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5093
Mailing address
1215 LEE ST, P.O. BOX 800386, CHARLOTTESVILLE, VA 22908-0816
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024168224
VA
Other
Enumeration date
05/15/2009
Last updated
09/28/2010
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