Provider Demographics
NPI:1033994249
Name:MICHAEL, SARAH LORRAINE (RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LORRAINE
Last Name:MICHAEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 781076
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48278-1076
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:747 E COUNTY LINE RD STE D
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1082
Practice Address - Country:US
Practice Address - Phone:317-888-9669
Practice Address - Fax:317-885-7966
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2024-12-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN28268347A163WG0000X
IN71015983A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice