Provider Demographics
NPI:1346066867
Name:WARE, SYLVIA LAUREN (RN)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:LAUREN
Last Name:WARE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34440 RIDGE RD UNIT C20
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-3087
Mailing Address - Country:US
Mailing Address - Phone:216-482-5062
Mailing Address - Fax:
Practice Address - Street 1:34440 RIDGE RD UNIT C20
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-3087
Practice Address - Country:US
Practice Address - Phone:216-482-5062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-30
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN364303163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty