Healthcare Provider Details

I. General information

NPI: 1225626781
Provider Name (Legal Business Name): MISS SARAH FITZPATRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54403 TOWNSHIP ROAD 172
FRESNO OH
43824-9701
US

IV. Provider business mailing address

43929 COUNTY ROAD 58
COSHOCTON OH
43812-9544
US

V. Phone/Fax

Practice location:
  • Phone: 740-545-9784
  • Fax:
Mailing address:
  • Phone: 740-622-0940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: