Healthcare Provider Details

I. General information

NPI: 1841694734
Provider Name (Legal Business Name): SARA CARTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2014
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SANDPOINT RD
MUNISING MI
49862-1406
US

IV. Provider business mailing address

1500 SANDPOINT RD
MUNISING MI
49862-1406
US

V. Phone/Fax

Practice location:
  • Phone: 906-387-4338
  • Fax: 906-387-2825
Mailing address:
  • Phone: 906-387-4338
  • Fax: 906-387-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704240296
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: