Healthcare Provider Details

I. General information

NPI: 1023723293
Provider Name (Legal Business Name): ALLISON HEATHER SAYLER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 KIMOLE LN STE 210
ADRIAN MI
49221-1479
US

IV. Provider business mailing address

777 KIMOLE LN STE 210
ADRIAN MI
49221-1479
US

V. Phone/Fax

Practice location:
  • Phone: 517-366-5020
  • Fax: 517-366-5024
Mailing address:
  • Phone: 517-366-5020
  • Fax: 517-366-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704314556
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: