Brainerd, Sara Elizabeth

Brainerd, Sara Elizabeth is an individual health care provider with primary practice located at 7440 Woodland Dr , Indianapolis IN 46278-1720. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Brainerd, Sara Elizabeth can be contacted via phone (612) 632-6906.

Contact Information

Primary practice address
7440 Woodland Dr Indianapolis IN 46278-1720
Phone: (612) 632-6906
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AG06210272 Indiana

Profile Details

NPI number 1013924224
LBN Legal business name Brainerd, Sara Elizabeth
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013924224 NPPES
Indiana MEDICAID 100270530A

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