Individual
SARAH L CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 688-5840
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173647A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010490A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001443714
ANTHEM PTAN
IN
05
—
300043687
—
IN
Enumeration date
10/20/2020
Last updated
02/10/2025
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