Healthcare Provider Details

I. General information

NPI: 1720338049
Provider Name (Legal Business Name): SARAH ELIZABETH ENSINGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 MAIN ST
WINTERSVILLE OH
43953-3734
US

IV. Provider business mailing address

652 COUNTY ROAD 42
TORONTO OH
43964-4038
US

V. Phone/Fax

Practice location:
  • Phone: 740-346-2702
  • Fax: 740-346-2645
Mailing address:
  • Phone: 740-337-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.13297
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: