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NPI Code Detail

MEDICARE: MRS. SARAH FARMER FNP-C

MEDICARE: MRS. SARAH FARMER FNP-C
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
1363LF0000XFamily Nurse Practitioner28200938AIN

General Provider Information

NPI Number : 1558851089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH FARMER FNP-C
Provider Business Mailing Address
First Line : 165 W BURMA RD
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47404-9408
Country : US
Telephone Number : 317-435-8419
Fax Number :
Provider Business Practice Location Address
First Line : 2485 DIRECTORS ROW STE D
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46241-4907
Country : US
Telephone Number : 317-941-7338
Fax Number : 317-942-0927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2018
Last Update Date : 01/11/2023

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