Provider Demographics
NPI:1144220278
Name:SAHY, COLLEEN NOEL (CNM)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:NOEL
Last Name:SAHY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:N
Other - Last Name:GEEGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 W 80TH PL STE B
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5476
Mailing Address - Country:US
Mailing Address - Phone:219-232-6522
Mailing Address - Fax:219-232-6539
Practice Address - Street 1:300 W 80TH PL STE B
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5476
Practice Address - Country:US
Practice Address - Phone:121-232-6522
Practice Address - Fax:219-232-6539
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN09000081A367A00000X
IN72000055A367A00000X
FLAPRN11012839367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN256700BOtherMEDICARE PTAN
IN200329090Medicaid
IN200329090Medicaid
IN256700BOtherMEDICARE PTAN