Healthcare Provider Details

I. General information

NPI: 1083301451
Provider Name (Legal Business Name): SARAH FEDNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 N ARDMORE RD
COLUMBUS OH
43209-1447
US

IV. Provider business mailing address

248 N ARDMORE RD
COLUMBUS OH
43209-1447
US

V. Phone/Fax

Practice location:
  • Phone: 614-648-0919
  • Fax:
Mailing address:
  • Phone: 614-648-0919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0034156
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.501033
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: