Provider Demographics
NPI:1396105565
Name:O'NAN, SARAH E
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:O'NAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3407
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47733-3407
Mailing Address - Country:US
Mailing Address - Phone:270-827-4000
Mailing Address - Fax:270-827-5325
Practice Address - Street 1:736 N ELM ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2938
Practice Address - Country:US
Practice Address - Phone:270-827-4000
Practice Address - Fax:270-827-5325
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY04773207V00000X
MI5151010167207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program