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Individual

SARA CHRISTINE RUESCHHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 948-0730
(317) 944-4319
Mailing address
550 UNIVERSITY BLVD STE 6100, INDIANAPOLIS, IN 46202-5149
(317) 948-0730
(317) 944-4319

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71007698A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71007698A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001149228
ANTHEM PTAN
IN
01
000001286895
ANTHEM PTAN
IN
05
300010843
IN
01
P02086081
RAILROAD PTAN
IN
Enumeration date
01/31/2018
Last updated
02/16/2025
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