Provider Demographics
NPI:1528542818
Name:WILLIAMS, SARAH ANN (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 JOLIET ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1995
Mailing Address - Country:US
Mailing Address - Phone:219-836-2096
Mailing Address - Fax:
Practice Address - Street 1:1100 JOLIET ST STE 201
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1995
Practice Address - Country:US
Practice Address - Phone:219-836-2096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71008337A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner