Individual provider · Type 1 NPI

Sarah Wagoner

Family Nurse Practitioner · Indianapolis, IN

NPI number 1720447683 Active

Practice location

1801 N Senate Blvd Ste 4000
Indianapolis, IN 46202-1184

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28157404A (IN)
Nurse Practitioner 363L00000X71006425 (IN)
Family Nurse Practitioner Primary 363LF0000X71006425A/B (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1720447683

Sarah Wagoner's National Provider Identifier is 1720447683, issued on Feb 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 17, 2022.