Provider Demographics
NPI:1114163094
Name:SCHMUDDE, SARAH RAE (RN)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:RAE
Last Name:SCHMUDDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5066 SANRO DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-1049
Mailing Address - Country:US
Mailing Address - Phone:513-831-0430
Mailing Address - Fax:
Practice Address - Street 1:5066 SANRO DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-1049
Practice Address - Country:US
Practice Address - Phone:513-831-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 336736163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse