Healthcare Provider Details

I. General information

NPI: 1306564414
Provider Name (Legal Business Name): SARA RYNSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA RYNSKI

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 STARR AVE
OREGON OH
43616-2429
US

IV. Provider business mailing address

3000 ARLINGTON AVE STOP 1108
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 567-389-8660
  • Fax: 888-603-7381
Mailing address:
  • Phone: 419-383-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.0032167
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberAPRN.CNP.0032167
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0032167
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704305346
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0032167
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number399299
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: