Healthcare Provider Details

I. General information

NPI: 1972250587
Provider Name (Legal Business Name): SARAH DANIELLE ROBINSON MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 S MISSION ST STE 4
MOUNT PLEASANT MI
48858-3939
US

IV. Provider business mailing address

18345 45TH AVE
BARRYTON MI
49305-8706
US

V. Phone/Fax

Practice location:
  • Phone: 989-400-4369
  • Fax:
Mailing address:
  • Phone: 989-621-2328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704322812NSA2206A
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: