Provider Demographics
NPI:1841551231
Name:SAUM, SARAH (LPN)
Entity type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:SAUM
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5477 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9794
Mailing Address - Country:US
Mailing Address - Phone:614-284-0551
Mailing Address - Fax:
Practice Address - Street 1:5477 HAYES RD
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9794
Practice Address - Country:US
Practice Address - Phone:614-284-0551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-03
Last Update Date:2012-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH146292164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse