Healthcare Provider Details

I. General information

NPI: 1891926432
Provider Name (Legal Business Name): SARAH MARIE ANDREWS CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 09/11/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4326 PINE FOREST BLVD NE STE 1
GRAND RAPIDS MI
49525-2157
US

IV. Provider business mailing address

156 E DIVISION ST
ROCKFORD MI
49341-1259
US

V. Phone/Fax

Practice location:
  • Phone: 208-704-2765
  • Fax:
Mailing address:
  • Phone: 208-704-2765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: