Individual
MRS. SARA BETH MATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11848 ROCK LANDING DR STE 402, NEWPORT NEWS, VA 23606-4425
(757) 873-1374
(757) 873-1612
Mailing address
8491 ASHINGTON WAY, WILLIAMSBURG, VA 23188-6628
(757) 636-2857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024174809
VA
363LG0600X
Gerontology Nurse Practitioner
0024174809
VA
Other
Enumeration date
06/14/2017
Last updated
11/05/2019
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