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Sara Sullivan

NPI 1902404023 · on the registry since 2020

Practice

Address
5511 Coventry Ln
Fort Wayne, IN 46804
Phone
(260) 222-8959
Fax
(317) 520-8200
Clinicians at this address
24

Additional practice sites

  • 3320 N Clinton St, Fort Wayne, IN

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana