Individual provider · NPI-1

Sarah Suzanne Bortone, FNP-BC

Nurse Practitioner, Family · Mishawaka, IN

NPI number1740520717
StatusActive
Last updated in NPPESFeb 27, 2013

Details

NPI
1740520717
Entity type
Individual (NPI-1)
Name
Sarah Suzanne Bortone
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2013
Last updated
Feb 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family28187181AINYes

Practice location

620 W Edison Rd
Suite 118
Mishawaka, IN 46545-2784

Phone 574-254-1100

Mailing address

56930 Wild Heather Dr
South Bend, IN 46619-9476

Phone 574-289-4986

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