Provider Demographics
NPI:1396953113
Name:MILEY, SARAH E (CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:MILEY
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 1:2045 W COOK RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3620
Mailing Address - Country:US
Mailing Address - Phone:419-566-0232
Mailing Address - Fax:
Practice Address - Street 1:1797 SEDDON CT
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3583
Practice Address - Country:US
Practice Address - Phone:419-289-1700
Practice Address - Fax:419-281-5896
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 308325163WC1500X
OHCOA.16606-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0269025Medicaid
OH0132908Medicaid