Healthcare Provider Details

I. General information

NPI: 1013322643
Provider Name (Legal Business Name): SARA MARIE BELDON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 NAGEL RD STE 500
AVON OH
44011-6401
US

IV. Provider business mailing address

1813 NAGEL RD STE 500
AVON OH
44011-6401
US

V. Phone/Fax

Practice location:
  • Phone: 440-937-4600
  • Fax: 440-937-4605
Mailing address:
  • Phone: 440-937-4600
  • Fax: 440-937-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.15879
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: