Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.0028086 | OH |
NPI | 1023614153 |
---|---|
Provider Name | Mrs. Sara Rose Armentano |
First Address | Middletown, OH 45005-5730 |
Second Address | Middletown, OH 45005-5730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2020 |
Last Update Date | 09/08/2021 |