Individual
MRS. SARA M ROTHGEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
(260) 222-7401
(260) 209-5956
Mailing address
PO BOX 772437, DETROIT, MI 48277-2437
(317) 575-7304
(317) 575-7333
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28214366A
IN
363L00000X
Nurse Practitioner
Primary
71009308A
IN
Other
Enumeration date
07/24/2019
Last updated
02/01/2023
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