Healthcare Provider Details

I. General information

NPI: 1497757397
Provider Name (Legal Business Name): ONDRIA M SAWYER ND/NURSE PRACTITIONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ONDRIA M SAWYER

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 W HUDSON BLVD
GASTONIA NC
28052-6430
US

IV. Provider business mailing address

200 E 2ND AVE
GASTONIA NC
28052-4358
US

V. Phone/Fax

Practice location:
  • Phone: 704-874-3316
  • Fax: 704-853-5251
Mailing address:
  • Phone: 704-874-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN 36
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN 36
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5009650
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: