Sander, Dara L
Sander, Dara L is an individual health care provider with primary practice located at 1001 Hadley Rd , Mooresville IN 46158-1883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sander, Dara L can be contacted via phone (317) 834-9393.Contact Information
Primary practice address
1001 Hadley Rd
Mooresville IN 46158-1883
Phone: (317) 834-9393
Fax: (317) 834-9399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71004000A | Indiana |
Profile Details
| NPI number | 1457611584 |
|---|---|
| LBN Legal business name | Sander, Dara L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2012 |
| Last updated | Jan 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457611584 | NPPES |
| Indiana | MEDICAID | 201079370 |
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