Healthcare Provider Details

I. General information

NPI: 1508593104
Provider Name (Legal Business Name): SARA B. ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8636 HOHMAN AVE
MUNSTER IN
46321-2128
US

IV. Provider business mailing address

8636 HOHMAN AVE
MUNSTER IN
46321-2128
US

V. Phone/Fax

Practice location:
  • Phone: 219-201-5532
  • Fax:
Mailing address:
  • Phone: 219-836-1336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71012856A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: