Basic Information
| Provider Information | |||||||||
| NPI: | 1326581596 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAJEWSKI | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | ELEANOR HOOPER | ||||||||
| NamePrefix: | |||||||||
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| Credential: | NP | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | HOOPER | ||||||||
| OtherFirstName: | SARA | ||||||||
| OtherMiddleName: | ELEANOR | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 856 J CLYDE MORRIS BLVD STE A | ||||||||
| Address2: | RIVERSIDE MEDICAL GROUP | ||||||||
| City: | NEWPORT NEWS | ||||||||
| State: | VA | ||||||||
| PostalCode: | 236011318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7575944006 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4917 RICHMOND TAPPAHANNOCK HWY STE 1B | ||||||||
| Address2: | KING WILLIAM MEDICAL CENTER | ||||||||
| City: | AYLETT | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230093416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047691245 | ||||||||
| FaxNumber: | 8047691342 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2016 | ||||||||
| LastUpdateDate: | 11/21/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0024174195 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.