Individual
SARA ABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN.CNP
Contact information
Practice address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
Mailing address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.389741
OH
207Q00000X
Family Medicine Physician
026622
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.026622
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.026622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405852
—
OH
Enumeration date
02/20/2014
Last updated
07/15/2022
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