Provider Demographics
NPI:1437414885
Name:HORN, SARAH LEE (RN,)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LEE
Last Name:HORN
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 1:22430 JERICHO RD
Mailing Address - Street 2:
Mailing Address - City:GLENMONT
Mailing Address - State:OH
Mailing Address - Zip Code:44628-9620
Mailing Address - Country:US
Mailing Address - Phone:740-599-2927
Mailing Address - Fax:
Practice Address - Street 1:22430 JERICHO RD
Practice Address - Street 2:
Practice Address - City:GLENMONT
Practice Address - State:OH
Practice Address - Zip Code:44628-9620
Practice Address - Country:US
Practice Address - Phone:740-599-2927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH335719163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse