Provider Demographics
NPI:1902688252
Name:MCCREERY, SARA RACHEL (MA)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:RACHEL
Last Name:MCCREERY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6615 CLEVELAND RD LOT K11
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-1894
Mailing Address - Country:US
Mailing Address - Phone:330-842-4434
Mailing Address - Fax:
Practice Address - Street 1:6615 CLEVELAND RD LOT K11
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-1894
Practice Address - Country:US
Practice Address - Phone:330-842-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide