Provider Demographics
NPI:1851906127
Name:TATE, SARAH GEBHARDT
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:GEBHARDT
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7599 GUNDY DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1314
Mailing Address - Country:US
Mailing Address - Phone:740-277-3694
Mailing Address - Fax:
Practice Address - Street 1:7599 GUNDY DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1314
Practice Address - Country:US
Practice Address - Phone:740-277-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-13
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty