Basic Information
Provider Information
NPI: 1780162370
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SERB
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ACNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17122 FLORENCE DR
Address2:  
City: LAKE MILTON
State: OH
PostalCode: 444299622
CountryCode: US
TelephoneNumber: 3306472377
FaxNumber:  
Practice Location
Address1: 525 E MARKET ST STE 1N
Address2:  
City: AKRON
State: OH
PostalCode: 443041619
CountryCode: US
TelephoneNumber: 3303753588
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2018
LastUpdateDate: 08/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAPRN.CNP.023333OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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