Individual provider · Type 1 NPI
Sara Bodenmiller, NP
Pediatric Nurse Practitioner · Indianapolis, IN
NPI number
1609913615
Active
Practice location
2001 W 86th St
Indianapolis, IN 46260-1902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 71001283A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71001283A (IN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1609913615
Sara Bodenmiller, NP's National Provider Identifier is 1609913615, issued on Jan 31, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Indianapolis, IN. The record was last updated on May 25, 2022.