Provider Demographics
NPI:1407626773
Name:WESTHEIMER, SARAH BROOK (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BROOK
Last Name:WESTHEIMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 LARRY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2131
Mailing Address - Country:US
Mailing Address - Phone:513-403-8832
Mailing Address - Fax:
Practice Address - Street 1:1515 LARRY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2131
Practice Address - Country:US
Practice Address - Phone:513-403-8832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.507974163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse