Healthcare Provider Details

I. General information

NPI: 1255836813
Provider Name (Legal Business Name): ERIN KATHLEEN SAIN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 W WOODCREST DRIVE
BLOOMINGTON IN
47401
US

IV. Provider business mailing address

10319 JEFFERSON HWY
BATON ROUGE LA
70809-2730
US

V. Phone/Fax

Practice location:
  • Phone: 812-650-9550
  • Fax:
Mailing address:
  • Phone: 225-244-9791
  • Fax: 225-214-9349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28117686A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: