Individual
SANDRA HARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
Mailing address
4089 FERGUSON RD, INDIANAPOLIS, IN 46239-1529
(317) 862-1341
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71002176A
IN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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