Provider Demographics
NPI:1487814513
Name:SAHR, RODNEY R (REGISTERED NURSE)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:R
Last Name:SAHR
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2532 680TH RD
Mailing Address - Street 2:
Mailing Address - City:GORDON
Mailing Address - State:NE
Mailing Address - Zip Code:69343-5213
Mailing Address - Country:US
Mailing Address - Phone:605-867-3143
Mailing Address - Fax:
Practice Address - Street 1:HWY 18 EAST
Practice Address - Street 2:PINE RIDGE HOSPITAL
Practice Address - City:PINE RIDGE
Practice Address - State:SD
Practice Address - Zip Code:57770
Practice Address - Country:US
Practice Address - Phone:605-867-3143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00099499163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health