Provider Demographics
NPI:1649461005
Name:HECK, SARAH D (FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:D
Last Name:HECK
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4666 W JEFFERSON BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46804-6892
Mailing Address - Country:US
Mailing Address - Phone:260-432-0100
Mailing Address - Fax:260-432-0117
Practice Address - Street 1:4666 W JEFFERSON BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46804-6892
Practice Address - Country:US
Practice Address - Phone:260-432-0100
Practice Address - Fax:260-432-0117
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN2006011326363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care