Provider Demographics
NPI:1790332617
Name:SERRAO, SARAH M (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:SERRAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:HEMMINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:7835 PARAGON RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4021
Mailing Address - Country:US
Mailing Address - Phone:937-436-4146
Mailing Address - Fax:937-530-4083
Practice Address - Street 1:6110 RADIO WAY
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-4520
Practice Address - Country:US
Practice Address - Phone:513-701-5526
Practice Address - Fax:513-701-5979
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025518363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner