Individual
SARA L MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 N NAPPANEE ST, STE 11-B, ELKHART, IN 46514-1503
(574) 522-9922
(574) 522-9926
Mailing address
9050 BARBOURVILLE RD, LONDON, KY 40744-9327
(606) 878-1860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2667A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380611
ANTHEM PROVIDER #
KY
01
—
030670000
BLACK LUNG
KY
01
—
50008567
PASSPORT HEALTH PLAN
KY
01
—
61-1427889
BLUEGRASS FAMILY HEALTH
KY
05
—
74026675
—
KY
01
—
C20863
CUMBERLAND HEALTHCARE INC
KY
01
—
P00314943
RRMCR
KY
Enumeration date
02/14/2006
Last updated
04/27/2012
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