MEDICARE: SARAH MCINTYRE PMHNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0042299	OH

General Provider Information

NPI Number	:	1053114421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MCINTYRE PMHNP-C

Provider Business Mailing Address
First Line	:	2652 N TOWNSHIP ROAD 135
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-9467
Country	:	US
Telephone Number	:	419-937-3956
Fax Number	:

Provider Business Practice Location Address
First Line	:	2652 N TOWNSHIP ROAD 135
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-9467
Country	:	US
Telephone Number	:	141-993-7395
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2025
Last Update Date	:	06/05/2026

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Directions to “ SARAH MCINTYRE PMHNP-C” Practice Location

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