Provider Demographics
NPI:1083203673
Name:BERBER, SARAH E (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:BERBER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8558 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-7032
Mailing Address - Country:US
Mailing Address - Phone:219-392-7084
Mailing Address - Fax:219-836-2097
Practice Address - Street 1:1946 45TH ST STE C
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3956
Practice Address - Country:US
Practice Address - Phone:219-440-5334
Practice Address - Fax:219-440-5335
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2022-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71010648A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71010648AOtherLICENSE