Healthcare Provider Details

I. General information

NPI: 1083552079
Provider Name (Legal Business Name): DARLENE RENEE SANFORD LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DARLENE RENEE SANDFORD LPN

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4695 ROCKWOOD RD
GARFIELD HTS OH
44125-1258
US

IV. Provider business mailing address

4695 ROCKWOOD RD
GARFIELD HTS OH
44125-1258
US

V. Phone/Fax

Practice location:
  • Phone: 216-301-5071
  • Fax: 216-301-5071
Mailing address:
  • Phone: 216-301-5071
  • Fax: 216-301-5071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number192938
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: