Provider Demographics
NPI:1053914028
Name:SADDLER, MIRANDA NONE
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:NONE
Last Name:SADDLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 CASE ST
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2015
Mailing Address - Country:US
Mailing Address - Phone:216-324-5638
Mailing Address - Fax:
Practice Address - Street 1:1920 CASE ST
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2015
Practice Address - Country:US
Practice Address - Phone:216-324-5638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health