Individual provider · Type 1 NPI

Sara Elizabeth Rupp, ATC, RN

Registered Nurse · Fort Wayne, IN

NPI number 1174592240 Active

Practice location

5050 North Clinton
Fort Wayne, IN 46825

Call (260) 484-8551 Map

Mailing address

5728 Thornbriar Ln
Fort Wayne, IN 46835-3875

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	28151799A (IN)
Athletic Trainer	2255A2300X	36000457A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174592240

Sara Elizabeth Rupp, ATC, RN's National Provider Identifier is 1174592240, issued on Mar 14, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 13, 2026.