Individual
MARGARET JANE SORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1901 LAFAYETTE RD, SUITE 200, CRAWFORDSVILLE, IN 47933-1098
(765) 361-3086
Mailing address
1901 LAFAYETTE RD, SUITE 200, CRAWFORDSVILLE, IN 47933-1098
(765) 361-3086
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71004109B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201098420
—
IN
Enumeration date
08/30/2012
Last updated
03/03/2015
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