Provider Demographics
NPI:1255165270
Name:LOCKWOOD, SARAH ANNE (CNP)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ANNE
Last Name:LOCKWOOD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506B MONTGOMERY RD.
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4400
Mailing Address - Country:US
Mailing Address - Phone:513-853-9000
Mailing Address - Fax:513-624-2964
Practice Address - Street 1:10506B MONTGOMERY RD.
Practice Address - Street 2:SUITE 304
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-853-9000
Practice Address - Fax:513-624-2964
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037487363LA2100X
OH2024063417363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care