Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 0024177898 | VA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024177898 | VA |
NPI | 1740836287 |
---|---|
Provider Name | Sarah Burnett |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2019 |
Last Update Date | 29/07/2021 |