Provider Demographics
NPI:1841967288
Name:NANCE, SARAH (CNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:NANCE
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 1:512 N CABLE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2133
Mailing Address - Country:US
Mailing Address - Phone:419-228-2600
Mailing Address - Fax:419-228-1100
Practice Address - Street 1:512 N CABLE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2133
Practice Address - Country:US
Practice Address - Phone:419-228-2600
Practice Address - Fax:419-228-1100
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH355746163W00000X
OHF04220106363LF0000X
OH0031164363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse