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Individual
SARAH ALLISON FEIDER
Active
Individual
SARAH ALLISON FEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003361A
IN
363LA2200X
Adult Health Nurse Practitioner
71003361A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201086630
—
IN
01
—
50087925
KY PASSPORT
KY
01
—
5927879
AETNA
IN
05
—
7100366040
—
KY
01
—
870313
ANTHEM
IN
Enumeration date
07/30/2010
Last updated
03/21/2021
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