MEDICARE: SULTANA SABER

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
1	363LF0000X	Family Nurse Practitioner	71015050A	IN

General Provider Information

NPI Number	:	1710752175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SULTANA SABER

Provider Business Mailing Address
First Line	:	10823 LUPINE LN
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4975
Country	:	US
Telephone Number	:	260-417-8068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 HEALTHCARE PL STE 101
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-7789
Country	:	US
Telephone Number	:	260-425-2690
Fax Number	:	260-425-2691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	03/18/2026

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Directions to “ SULTANA SABER ” Practice Location

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