Provider Demographics
NPI:1407011810
Name:CUNAGIN, SABRINA DIANA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:DIANA
Last Name:CUNAGIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3670
Mailing Address - Country:US
Mailing Address - Phone:513-967-3955
Mailing Address - Fax:
Practice Address - Street 1:845 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3670
Practice Address - Country:US
Practice Address - Phone:513-967-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 104749164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse