Healthcare Provider Details

I. General information

NPI: 1013354034
Provider Name (Legal Business Name): ABBY GAYLE SEARFOSS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1098
US

IV. Provider business mailing address

885 N SANDUSKY AVE
UPPER SANDUSKY OH
43351-1031
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-6254
  • Fax: 419-294-4021
Mailing address:
  • Phone: 419-294-4991
  • Fax: 419-294-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14519-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: