Provider Demographics
NPI:1245727544
Name:KAFADER, SARAH E (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:KAFADER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:MIGNIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-0223
Mailing Address - Fax:614-293-7232
Practice Address - Street 1:1145 OLENTANGY RIVER RD STE 2200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3117
Practice Address - Country:US
Practice Address - Phone:614-293-0223
Practice Address - Fax:614-293-7232
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022987363LA2100X, 363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0309579Medicaid