Individual
SARAH ELIZABETH PLUCKEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(316) 871-0010
Mailing address
8326 NAAB RD, INDIANAPOLIS, IN 46260-1920
(317) 871-0000
(316) 871-0010
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71004296A
IN
363LA2100X
Acute Care Nurse Practitioner
COA.17090-NP
OH
363LF0000X
Family Nurse Practitioner
71004296A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
71004296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200392480J
—
IN
Enumeration date
04/15/2013
Last updated
03/08/2022
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