Healthcare Provider Details

I. General information

NPI: 1396953113
Provider Name (Legal Business Name): SARAH E MILEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1797 SEDDON CT
ASHLAND OH
44805-3583
US

IV. Provider business mailing address

2045 W COOK RD
MANSFIELD OH
44906-3620
US

V. Phone/Fax

Practice location:
  • Phone: 419-289-1700
  • Fax: 419-281-5896
Mailing address:
  • Phone: 419-566-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberCOA.16606-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN 308325
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: