Provider Demographics
NPI:1053932970
Name:WEBER, SARAH LYNNE (NP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNNE
Last Name:WEBER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 S STATE ROAD 135 STE C
Mailing Address - Street 2:
Mailing Address - City:TRAFALGAR
Mailing Address - State:IN
Mailing Address - Zip Code:46181-8702
Mailing Address - Country:US
Mailing Address - Phone:317-878-4972
Mailing Address - Fax:317-878-4593
Practice Address - Street 1:106 S STATE ROAD 135 STE C
Practice Address - Street 2:
Practice Address - City:TRAFALGAR
Practice Address - State:IN
Practice Address - Zip Code:46181-8702
Practice Address - Country:US
Practice Address - Phone:317-878-4972
Practice Address - Fax:317-878-4593
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009985A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily