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NPI Code Detail

MEDICARE: SARAH C HENKLE

MEDICARE: SARAH C HENKLE
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 Practitioner71002599AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477503084
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH C HENKLE
Provider Business Mailing Address
First Line : PO BOX 78158
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46278-0158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1466 W OAK ST
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-1800
Country : US
Telephone Number : 317-873-6438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 02/10/2012

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