Healthcare Provider Details

I. General information

NPI: 1083525133
Provider Name (Legal Business Name): SARAH ANNE HUBBLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E LARKIN ST
MIDLAND MI
48640-5110
US

IV. Provider business mailing address

946 TURTLE CV
SANFORD MI
48657-9342
US

V. Phone/Fax

Practice location:
  • Phone: 989-486-9223
  • Fax: 989-486-9225
Mailing address:
  • Phone: 989-615-1915
  • Fax: 989-486-9225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: