Provider Demographics
NPI:1437798485
Name:CARBONE, SARAH C (LPN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:CARBONE
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 1:210 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:OH
Mailing Address - Zip Code:44420-3410
Mailing Address - Country:US
Mailing Address - Phone:330-978-7289
Mailing Address - Fax:
Practice Address - Street 1:210 DEARBORN ST
Practice Address - Street 2:
Practice Address - City:GIRARD
Practice Address - State:OH
Practice Address - Zip Code:44420-3410
Practice Address - Country:US
Practice Address - Phone:330-978-7289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-21
Last Update Date:2019-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPN.153804.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse