Healthcare Provider Details

I. General information

NPI: 1528542818
Provider Name (Legal Business Name): SARAH ANN WILLIAMS-PEREZ MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ANN WILLIAMS-PEREZ MSN, FNP-BC

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10855 VIRGINIA ST
CROWN POINT IN
46307-0210
US

IV. Provider business mailing address

10855 VIRGINIA ST
CROWN POINT IN
46307-0210
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone: 219-407-5752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71008337A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: