Healthcare Provider Details
I. General information
NPI: 1003454265
Provider Name (Legal Business Name): SARAH WINHOLT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/18/2019
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5817 HAPPY HOLLOW RD
MILFORD OH
45150-1848
US
IV. Provider business mailing address
111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH NH
03801-2864
US
V. Phone/Fax
- Phone: 513-327-9244
- Fax: 513-323-5201
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 025935 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: