Individual
THERESA SANDERBECK-BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Mailing address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP05924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2282220
—
OH
Enumeration date
05/24/2006
Last updated
09/14/2010
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