Provider Demographics
NPI:1740680420
Name:BIRGE, SARAH (FNP, NP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:BIRGE
Suffix:
Gender:F
Credentials:FNP, NP-C
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-0038
Mailing Address - Country:US
Mailing Address - Phone:812-738-4251
Mailing Address - Fax:812-738-7833
Practice Address - Street 1:5300 STATE ROAD 64 STE 105
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:IN
Practice Address - Zip Code:47122-9178
Practice Address - Country:US
Practice Address - Phone:812-366-0012
Practice Address - Fax:812-738-7833
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008876363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily