Healthcare Provider Details

I. General information

NPI: 1194646406
Provider Name (Legal Business Name): SARAH ROSE-MARIE MITCHELL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 S HOWELL ST
HILLSDALE MI
49242-2040
US

IV. Provider business mailing address

1428 TIMBERLEAF DR
BRIGHTON MI
48114-6818
US

V. Phone/Fax

Practice location:
  • Phone: 517-437-4451
  • Fax:
Mailing address:
  • Phone: 810-820-1584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM11066
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: