Provider Demographics
NPI:1346881844
Name:ADEN, SAGAL (CNP)
Entity Type:Individual
Prefix:
First Name:SAGAL
Middle Name:
Last Name:ADEN
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:PO BOX 28687
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-0687
Mailing Address - Country:US
Mailing Address - Phone:614-274-7771
Mailing Address - Fax:614-274-7720
Practice Address - Street 1:1000 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3304
Practice Address - Country:US
Practice Address - Phone:614-274-7771
Practice Address - Fax:614-274-7720
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025758363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care