Provider Demographics
NPI:1215911342
Name:MILLER, SARA J (CRNA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 RIVERS EDGE LN
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-3783
Mailing Address - Country:US
Mailing Address - Phone:216-233-2090
Mailing Address - Fax:
Practice Address - Street 1:884 RIVERS EDGE LN
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3783
Practice Address - Country:US
Practice Address - Phone:216-233-2090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.07235367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2380785Medicaid
OH8231431Medicare ID - Type Unspecified
OH2380785Medicaid