Healthcare Provider Details

I. General information

NPI: 1992677694
Provider Name (Legal Business Name): SARAH E EVANS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BARNHILL DR # EH215
INDIANAPOLIS IN
46202-5112
US

IV. Provider business mailing address

545 BARNHILL DR # EH215
INDIANAPOLIS IN
46202-5112
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-7150
  • Fax: 317-274-2940
Mailing address:
  • Phone: 317-944-7150
  • Fax: 317-274-2940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71017128A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: