Provider Demographics
NPI:1164704169
Name:PERLMAN, SARAH MATTHEA (CNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MATTHEA
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5579 VALENCIA PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8794
Mailing Address - Country:US
Mailing Address - Phone:614-769-3342
Mailing Address - Fax:
Practice Address - Street 1:798 N COURT ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1262
Practice Address - Country:US
Practice Address - Phone:740-420-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12563-NP363LF0000X
OHRX.12563-EX1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0054620Medicaid
OH0054620Medicaid