Healthcare Provider Details

I. General information

NPI: 1083098420
Provider Name (Legal Business Name): SARAH FARMER PMHNP-C, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH MATUSZEK FNP-C

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 OAK ALLEY CT STE 308
TOLEDO OH
43606-1365
US

IV. Provider business mailing address

3454 OAK ALLEY CT STE 308
TOLEDO OH
43606-1365
US

V. Phone/Fax

Practice location:
  • Phone: 419-280-2877
  • Fax:
Mailing address:
  • Phone: 419-280-2877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.17636-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704315138
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.17636
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704315138
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: