Healthcare Provider Details

I. General information

NPI: 1154226488
Provider Name (Legal Business Name): SARAH LOUISE STEVENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E PRINCETON AVE
YOUNGSTOWN OH
44507-1476
US

IV. Provider business mailing address

114 COUNTRY GREEN DR
YOUNGSTOWN OH
44515-2215
US

V. Phone/Fax

Practice location:
  • Phone: 330-717-3378
  • Fax:
Mailing address:
  • Phone: 234-201-2269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: