=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790690006
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARA L BROWN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2026
-----------------------------------------------------
Last Update Date | 08/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 MAGDALENA DR
-----------------------------------------------------
City | UNION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45322-9780
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-836-6061
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 MAGDALENA DR
-----------------------------------------------------
City | UNION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45322-9780
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-267-3244
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN476095
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------