Provider Demographics
NPI:1225152291
Name:SARKODIE, OLIVIA SERBEH (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:OLIVIA
Middle Name:SERBEH
Last Name:SARKODIE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6825 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3466
Mailing Address - Country:US
Mailing Address - Phone:937-559-9094
Mailing Address - Fax:937-233-5009
Practice Address - Street 1:6825 BARBARA DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3466
Practice Address - Country:US
Practice Address - Phone:937-559-9094
Practice Address - Fax:937-233-5009
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN248247163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2372785Medicaid