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Individual

DR. SARA KRISTINE DYGERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1030 W MICHIGAN ST # C4600, INDIANAPOLIS, IN 46202-5201
(317) 274-4779
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28239466A
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71013992A
IN
363LP0200X
Pediatric Nurse Practitioner
71013992A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300078272
IN
Enumeration date
07/13/2023
Last updated
08/07/2023
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