Individual ProviderSarah PorterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4677 Fulton Dr NW, Canton, OH 44718-2379(330) 489-2131PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Porter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114500097Provider TypeIndividualFull NamePorter, SarahCredentialAPRN-CNPGenderFemaleSole ProprietorNoEnumeration Date4/29/2021Last Updated9/12/2024Contact InformationPractice LocationPractice Address4677 Fulton Dr NW, Canton, OH 44718-2379Phone(330) 489-2131FaxUnlisted FaxMailing LocationMailing Address4677 Fulton Dr NW, Canton, OH 44718-2379Phone(330) 489-2131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN.CNP.0028847Ohio