Healthcare Provider Details

I. General information

NPI: 1932019684
Provider Name (Legal Business Name): SARA PAIGE PFEIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5629 STADIUM DR STE A
KALAMAZOO MI
49009-1952
US

IV. Provider business mailing address

1301 ELLERY GROVE CT
VICKSBURG MI
49097-7778
US

V. Phone/Fax

Practice location:
  • Phone: 269-372-1000
  • Fax:
Mailing address:
  • Phone: 269-903-1417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number4704271894
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: