Healthcare Provider Details

I. General information

NPI: 1710809603
Provider Name (Legal Business Name): MS. SARAH ELIZABETH ELAINE HESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6923 INDIANA AVE LOWR
CLEVELAND OH
44105-3705
US

IV. Provider business mailing address

6923 INDIANA AVE LOWR
CLEVELAND OH
44105-3705
US

V. Phone/Fax

Practice location:
  • Phone: 216-789-6224
  • Fax:
Mailing address:
  • Phone: 216-789-6224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPRS.007686
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: