Provider Demographics
NPI:1902887474
Name:REVES, SARAH ROHRS (FNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROHRS
Last Name:REVES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7846
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-0346
Mailing Address - Country:US
Mailing Address - Phone:804-507-1644
Mailing Address - Fax:804-507-0116
Practice Address - Street 1:12901 BRIGGS RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-5335
Practice Address - Country:US
Practice Address - Phone:804-796-2373
Practice Address - Fax:804-748-9160
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024163081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily