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NPI Code Detail

MEDICARE: MRS. SARAH E BERBER FNP-BC

MEDICARE: MRS. SARAH E BERBER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71010648AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171010648AOTHERINLICENSE

General Provider Information

NPI Number : 1083203673
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH E BERBER FNP-BC
Provider Business Mailing Address
First Line : 8558 BROADWAY
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-7032
Country : US
Telephone Number : 219-392-7084
Fax Number : 219-836-2097
Provider Business Practice Location Address
First Line : 1946 45TH ST STE C
Second Line :
City : MUNSTER
State : IN
Zip : 46321-3956
Country : US
Telephone Number : 219-440-5334
Fax Number : 219-440-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 11/02/2022

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Directions to “ MRS. SARAH E BERBER FNP-BC” Practice Location

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