Provider Demographics
NPI:1033113444
Name:HINDERER, SARA REID (DNP)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:REID
Last Name:HINDERER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 LAPEER
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48607-1208
Mailing Address - Country:US
Mailing Address - Phone:989-759-6464
Mailing Address - Fax:989-399-8233
Practice Address - Street 1:1522 JANES AVE
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-1819
Practice Address - Country:US
Practice Address - Phone:989-755-0316
Practice Address - Fax:989-755-0956
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704075804363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1020214OtherMCLAREN HEALTH PLAN
MI1033113444Medicaid
MI1035366OtherHEALTHPLUS OF MICHIGAN
MI381908328-329OtherCARE SOURCE OF MICHIGAN
MN500G310570OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI1033113444OtherMOLINA HEALTH CARE OF MICHIGAN
MI154584OtherGREAT LAKES HEALTH PLAN
MN500G310570OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI1035366OtherHEALTHPLUS OF MICHIGAN