Provider Demographics
NPI:1962738278
Name:BENNETT, SARAH KRISTINE (NP-C)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KRISTINE
Last Name:BENNETT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 S STATE ROUTE 48
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-8280
Mailing Address - Country:US
Mailing Address - Phone:513-853-8800
Mailing Address - Fax:513-853-8801
Practice Address - Street 1:6020 S STATE ROUTE 48
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8280
Practice Address - Country:US
Practice Address - Phone:513-853-8800
Practice Address - Fax:513-853-8801
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.019952363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily