Basic Information
Provider Information
NPI: 1881223105
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALINAS
FirstName: SARAH
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: LPN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11341 KADER DR
Address2:  
City: PARMA
State: OH
PostalCode: 441307248
CountryCode: US
TelephoneNumber: 2163330222
FaxNumber:  
Practice Location
Address1: 6900 PEARL RD STE 200
Address2:  
City: MIDDLEBURG HEIGHTS
State: OH
PostalCode: 441303640
CountryCode: US
TelephoneNumber: 4408450900
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2020
LastUpdateDate: 04/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000XLPN.166698.MEDS-IVOHY Nursing Service ProvidersLicensed Practical Nurse 

No ID Information.


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