Provider Demographics
NPI:1962940189
Name:SAPIENT HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:SAPIENT HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:540-297-6026
Mailing Address - Street 1:21430 TIMBERLAKE RD
Mailing Address - Street 2:PMB 318
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7248
Mailing Address - Country:US
Mailing Address - Phone:434-944-0194
Mailing Address - Fax:
Practice Address - Street 1:10102 LEESVILLE RD
Practice Address - Street 2:
Practice Address - City:LYNCH STATION
Practice Address - State:VA
Practice Address - Zip Code:24571-2210
Practice Address - Country:US
Practice Address - Phone:540-297-6026
Practice Address - Fax:540-297-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty