Healthcare Provider Details

I. General information

NPI: 1033113444
Provider Name (Legal Business Name): SARA REID HINDERER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 10/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1522 JANES AVE
SAGINAW MI
48601-1819
US

IV. Provider business mailing address

501 LAPEER
SAGINAW MI
48607-1208
US

V. Phone/Fax

Practice location:
  • Phone: 989-755-0316
  • Fax: 989-755-0956
Mailing address:
  • Phone: 989-759-6464
  • Fax: 989-399-8233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704075804
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: