Healthcare Provider Details

I. General information

NPI: 1083237697
Provider Name (Legal Business Name): SALLY MARIE STRANGE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 HARRISON AVE
CINCINNATI OH
45247-7969
US

IV. Provider business mailing address

6355 HARRISON AVE
CINCINNATI OH
45247-7969
US

V. Phone/Fax

Practice location:
  • Phone: 513-964-0830
  • Fax: 855-306-4969
Mailing address:
  • Phone: 513-964-0830
  • Fax: 855-306-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.026580
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: