MEDICARE: MRS. SARAH BORIS APRN

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.0034571	OH

General Provider Information

NPI Number	:	1922780345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH BORIS APRN

Provider Business Mailing Address
First Line	:	1515 S REDHAWK
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551
Country	:	US
Telephone Number	:	419-343-6690
Fax Number	:

Provider Business Practice Location Address
First Line	:	25660 DIXIE HWY
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-2167
Country	:	US
Telephone Number	:	419-872-5343
Fax Number	:	419-872-7465

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

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	03/18/2026

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