Provider Demographics
NPI:1679910095
Name:NOLE KIMANI, SARAH E (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:NOLE KIMANI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:FAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:4834 SOCIALVILLE FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-6827
Mailing Address - Country:US
Mailing Address - Phone:513-701-9130
Mailing Address - Fax:517-701-9135
Practice Address - Street 1:4834 SOCIALVILLE FOSTER RD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-6827
Practice Address - Country:US
Practice Address - Phone:513-701-9130
Practice Address - Fax:517-701-9135
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14390-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health