Individual
SARAH REBECCA DAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
825 FAIRFAX AVE, SUITE 310, NORFOLK, VA 23507-1914
(757) 446-7900
(757) 446-7464
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-7900
(757) 446-7464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
149715
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
0024170351
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-010
TRICARE
VA
01
—
10116321N
OPTIMA HEALTH
VA
01
—
1508184912
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1508184912
—
NC
05
—
1508184912
—
VA
01
—
PAR
CORVEL
VA
Enumeration date
05/10/2010
Last updated
12/20/2013
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