Individual
SARAH TOEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 448-8227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28180133A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71004257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000795736
ANTHEM PROVIDER NUMBER
IN
05
—
201122320
—
IN
Enumeration date
10/17/2012
Last updated
02/11/2013
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