Healthcare Provider Details

I. General information

NPI: 1669022349
Provider Name (Legal Business Name): SARA HELENE PINNEY RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 READING RD STE H
MASON OH
45040-2654
US

IV. Provider business mailing address

5030 WESTERN HILLS AVE
CINCINNATI OH
45238-3811
US

V. Phone/Fax

Practice location:
  • Phone: 937-657-8101
  • Fax:
Mailing address:
  • Phone: 513-500-3619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-117280
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: