Smith, Sara Nicole
Smith, Sara Nicole is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Smith, Sara Nicole can be contacted via phone (614) 722-2000.Contact Information
Primary practice address
700 Childrens Dr
Columbus OH 43205-2664
Phone: (614) 722-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | 13818-NP | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care | 363LP0222X | APRN001966 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN001966 | Nevada |
Profile Details
| NPI number | 1912256744 |
|---|---|
| LBN Legal business name | Smith, Sara Nicole |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2012 |
| Last updated | Aug 20th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912256744 | NPPES |
| Ohio | MEDICAID | 0131245 |
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