Individual
FARKHONDEH SARA SHAMSALI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 N PICKAWAY ST, CIRCLEVILLE, OH 43113-2409
(614) 552-0061
(614) 552-0168
Mailing address
3400 OLENTANGY RIVER RD, COLUMBUS, OH 43202-1523
(614) 552-0061
(614) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-042572
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2145084
—
OH
Enumeration date
03/06/2006
Last updated
04/03/2020
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