Provider Demographics
NPI:1164020301
Name:HAUBER, SARA WHITNEYANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:WHITNEYANN
Last Name:HAUBER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8450 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1381
Mailing Address - Country:US
Mailing Address - Phone:317-802-2000
Mailing Address - Fax:317-802-2170
Practice Address - Street 1:9070 E 56TH ST STE 400
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7074
Practice Address - Country:US
Practice Address - Phone:317-268-3600
Practice Address - Fax:317-268-3399
Is Sole Proprietor?:No
Enumeration Date:2020-10-10
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10004223A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty