Provider Demographics
NPI:1043777873
Name:BARNETT, SABRINA DAWN (APRN)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:DAWN
Last Name:BARNETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:REST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 PRIVATE DR. 977
Mailing Address - Street 2:
Mailing Address - City:PEDRO
Mailing Address - State:OH
Mailing Address - Zip Code:45659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 PRIVATE DR. 977
Practice Address - Street 2:
Practice Address - City:PEDRO
Practice Address - State:OH
Practice Address - Zip Code:45659
Practice Address - Country:US
Practice Address - Phone:740-534-1386
Practice Address - Fax:740-534-1516
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0032460363LP0808X
OHRN.379403163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.0032460OtherOH BON