Provider Demographics
NPI:1184659922
Name:YODER, SARA (CNM, CNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:CNM, CNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:BRUNSWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 LAZELLE RD E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-6423
Mailing Address - Country:US
Mailing Address - Phone:419-305-2873
Mailing Address - Fax:
Practice Address - Street 1:50 LAZELLE RD E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-6423
Practice Address - Country:US
Practice Address - Phone:614-888-0800
Practice Address - Fax:614-888-0858
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA-08690-NM367A00000X
OHNP08689363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife