Individual
SARA L SPEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2512 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825-1609
(260) 432-4400
(260) 696-6898
Mailing address
2512 E DUPONT RD, SUITE 200, FORT WAYNE, IN 46825-1609
(260) 432-4400
(260) 696-6898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28176966A
IN
363L00000X
Nurse Practitioner
Primary
71003850A
IN
Other
Enumeration date
01/20/2009
Last updated
06/15/2012
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