Provider Demographics
NPI:1326764192
Name:VINCELLI, SARA M (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:VINCELLI
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10529 LOVELAND MADEIRA RD
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-8963
Mailing Address - Country:US
Mailing Address - Phone:513-853-9700
Mailing Address - Fax:513-852-8965
Practice Address - Street 1:10529 LOVELAND MADEIRA RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-8963
Practice Address - Country:US
Practice Address - Phone:513-853-9700
Practice Address - Fax:513-852-8965
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV105063363L00000X
OHAPRN.CNP.0035989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner