Individual
SARAH CHAMBLISS GREENERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 W BANK ST, SUITE 6, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 862-8060
Mailing address
2816 EAGLE ROCK RD, PETERSBURG, VA 23805-7723
(804) 861-1536
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001104757
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945280
—
VA
Enumeration date
05/06/2008
Last updated
05/06/2008
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