Provider Demographics
NPI:1982057527
Name:BYRD, SARAH (CFNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BYRD
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224-D CORNWALL STREET, NW, SUITE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:3046 VALLEY AVENUE, SUITE100
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2679
Practice Address - Country:US
Practice Address - Phone:540-495-8055
Practice Address - Fax:540-504-7463
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVF0616050363LF0000X
VA0024191166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001978551OtherBCBS
VA30018105660001Medicaid
WV3810009620Medicaid