ANDREA JACQUELINE SACKMAN


Address: 3285 Dorchester Rd, Shaker Heights, OH 44120-3412
Phone: 2163389308

ANDREA JACQUELINE SACKMAN (NPI# 1861037558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861037558
Entity Type Individual
Full Name ANDREA JACQUELINE SACKMAN
Practice Address 3285 Dorchester Rd
Shaker Heights
OH 44120-3412
Practice Telephone 2163389308
Enumeration Date 2019-11-17
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN.404672 OH Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
NP.026374 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3285 DORCHESTER RD
City SHAKER HEIGHTS
State OH
Zip Code 44120-3412

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1871095000 Stacy-ann Camile Durrant Nurse's Aide 13800 Fairhill Rd, 115, Shaker Heights, OH 44120 2018-03-03
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City SHAKER HEIGHTS
Zip Code 44120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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