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Individual

SARA NICHOLE CONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 232-0564
Mailing address
5764 CAMDEN RD, TERRE HAUTE, IN 47805-9001
(812) 208-5745

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28185693A
IN
363L00000X
Nurse Practitioner
Primary
F06212802
IN

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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