Provider Demographics
NPI:1356794648
Name:PRZYCHOCKI, SARAH (RN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:PRZYCHOCKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 MCCARREN DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7374
Mailing Address - Country:US
Mailing Address - Phone:440-915-5059
Mailing Address - Fax:
Practice Address - Street 1:2502 MCCARREN DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7374
Practice Address - Country:US
Practice Address - Phone:440-915-5059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH141312163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse