Individual
SARA SANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
415 MAIN ST, SUMMERSVILLE, WV 26651-1343
(304) 226-5725
(304) 226-3274
Mailing address
10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208-7713
(304) 226-5725
(304) 226-3274
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN75972NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014023940
CERTIFICATION NUMBER-ANCC
WV
01
—
APRN75972NP
APRN LICENSE NUMBER
WV
Enumeration date
02/13/2015
Last updated
05/11/2020
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