Provider Demographics
NPI:1528307667
Name:TWARDOWSKI, SARA JANE (APN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JANE
Last Name:TWARDOWSKI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE ML 11006
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-4991
Mailing Address - Fax:513-636-3980
Practice Address - Street 1:3333 BURNET AVE ML 11006
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4991
Practice Address - Fax:513-636-3980
Is Sole Proprietor?:No
Enumeration Date:2013-02-09
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010177363L00000X
OHAPRN.CNP.0030392363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner