MEDICARE: SARAH JO BAUER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71006250A	IN

General Provider Information

NPI Number	:	1275989931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JO BAUER FNP

Provider Business Mailing Address
First Line	:	8433 HARCOURT RD STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-2193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8433 HARCOURT RD STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260
Country	:	US
Telephone Number	:	317-583-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	06/01/2026

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