Provider Demographics
NPI:1437631462
Name:MASON, SARAH M (CNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:MASON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:BITTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:17862 STATE ROUTE 247
Mailing Address - Street 2:
Mailing Address - City:SEAMAN
Mailing Address - State:OH
Mailing Address - Zip Code:45679-9646
Mailing Address - Country:US
Mailing Address - Phone:937-695-0748
Mailing Address - Fax:937-386-0010
Practice Address - Street 1:17862 STATE ROUTE 247
Practice Address - Street 2:
Practice Address - City:SEAMAN
Practice Address - State:OH
Practice Address - Zip Code:45679-9646
Practice Address - Country:US
Practice Address - Phone:937-695-0748
Practice Address - Fax:937-386-0010
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP023372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily