Provider Demographics
NPI:1548656754
Name:LAIRD, SARAH JANE (RN, ACNP-AG)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:LAIRD
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Gender:F
Credentials:RN, ACNP-AG
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Mailing Address - Street 1:30 W RAMPART ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-8846
Mailing Address - Country:US
Mailing Address - Phone:317-421-2012
Mailing Address - Fax:317-398-1851
Practice Address - Street 1:2451 INTELLIPLEX DR
Practice Address - Street 2:SUITE 260
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-8580
Practice Address - Country:US
Practice Address - Phone:317-398-0121
Practice Address - Fax:317-398-1851
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2024-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71011361A363LG0600X, 363LG0600X
AZTAP7741363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care