Audley, Sandra Lynn

Audley, Sandra Lynn is an individual health care provider with primary practice located at 4514 Bader Ave , Cleveland OH 44109-5266. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Audley, Sandra Lynn can be contacted via phone (216) 832-1311.

Contact Information

Primary practice address
4514 Bader Ave Cleveland OH 44109-5266
Phone: (216) 832-1311
Fax: (216) 741-8705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 4532 Ohio

Profile Details

NPI number 1073590063
LBN Legal business name Audley, Sandra Lynn
Credentials M.S., R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073590063 NPPES
Ohio Other 000000379531 ANTHEM BLUE CROSS/SHIELD

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