Individual
SARA BETH HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 WESTFIELD RD STE C, NOBLESVILLE, IN 46060-1496
(317) 770-1700
(317) 770-1727
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000570A
IN
Other
Enumeration date
02/21/2006
Last updated
09/18/2020
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