Healthcare Provider Details

I. General information

NPI: 1396905766
Provider Name (Legal Business Name): SARA LYNN TOSCANO RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA LYNN HEMBROCK RN, BSN

II. Dates (important events)

Enumeration Date: 06/10/2008
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N GREENE ST 6D-162
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

10 N GREENE ST 6D-162
BALTIMORE MD
21201-1524
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7000
  • Fax: 410-605-7741
Mailing address:
  • Phone: 410-605-7000
  • Fax: 410-605-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberR115798
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: