Provider Demographics
NPI:1992314868
Name:FRANTZ, SARAH BLANKENSHIP
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BLANKENSHIP
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5375 DUKE ST APT 411
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3038
Mailing Address - Country:US
Mailing Address - Phone:703-599-2792
Mailing Address - Fax:
Practice Address - Street 1:9380 FORESTWOOD LN STE B
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4735
Practice Address - Country:US
Practice Address - Phone:703-335-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179723363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily