Individual
SARAH KATHLEEN ADRIAN-STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
(317) 273-5988
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
71013279A
IN
363LA2100X
Acute Care Nurse Practitioner
71013279A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71013279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669183448
ANTHEM PTAN
IN
05
—
300070244
—
IN
Enumeration date
12/12/2022
Last updated
05/05/2025
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