Provider Demographics
NPI:1104363423
Name:SANI, APELETE VICH
Entity type:Individual
Prefix:
First Name:APELETE
Middle Name:VICH
Last Name:SANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6021 BOYMEL DR
Mailing Address - Street 2:APT J
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-8522
Mailing Address - Country:US
Mailing Address - Phone:513-834-0381
Mailing Address - Fax:
Practice Address - Street 1:6021 BOYMEL DR
Practice Address - Street 2:APT J
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8522
Practice Address - Country:US
Practice Address - Phone:513-834-0381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-414991163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse