Healthcare Provider Details

I. General information

NPI: 1619413994
Provider Name (Legal Business Name): SARAH DODDS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 E MARKET ST 300
NEW ALBANY IN
47150-2917
US

IV. Provider business mailing address

9200 SHELBYVILLE RD STE 530
LOUISVILLE KY
40222-5144
US

V. Phone/Fax

Practice location:
  • Phone: 866-460-3567
  • Fax: 855-632-8329
Mailing address:
  • Phone: 502-327-9100
  • Fax: 855-632-8329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71006810A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: