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Individual

SARA RENE DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
255 E MAIN ST STE 2B, COLUMBUS, OH 43215-5222
(614) 722-8222
Mailing address
255 E MAIN ST STE 2B, COLUMBUS, OH 43215-5222
(614) 722-8222

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
477495
OH
163WM0102X
Maternal Newborn Registered Nurse
477495
OH
163WN0002X
Neonatal Intensive Care Registered Nurse
477495
OH
163WP0200X
Pediatric Registered Nurse
477495
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009109
OH
Enumeration date
08/22/2022
Last updated
10/27/2023
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