Provider Demographics
NPI:1396305678
Name:COE, SARA LOUISE (NP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:LOUISE
Last Name:COE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:457 POLK MANOR DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1642
Mailing Address - Country:US
Mailing Address - Phone:317-408-1671
Mailing Address - Fax:
Practice Address - Street 1:3500 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-1732
Practice Address - Country:US
Practice Address - Phone:812-238-1555
Practice Address - Fax:812-238-2514
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28156525A363LG0600X, 363LG0600X, 363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care