Individual
SARAH K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 274-4779
(317) 948-9806
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28227628A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71013129A
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
71013129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069062
—
IN
Enumeration date
11/04/2022
Last updated
10/01/2024
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