Provider Demographics
NPI:1134892300
Name:SANDMANN, TAYLOR LYNN
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LYNN
Last Name:SANDMANN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5240 E GALBRAITH RD STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2879
Mailing Address - Country:US
Mailing Address - Phone:862-235-4743
Mailing Address - Fax:513-721-1036
Practice Address - Street 1:5240 E GALBRAITH RD STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2879
Practice Address - Country:US
Practice Address - Phone:862-235-4743
Practice Address - Fax:513-721-1036
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP0028408363LF0000X
OH0028408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0480784Medicaid