Healthcare Provider Details

I. General information

NPI: 1902690365
Provider Name (Legal Business Name): SARAH WESTENBROEK DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH JANE FAASSE

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 HENRY ST STE 120
NORTON SHORES MI
49441-4576
US

IV. Provider business mailing address

PO BOX 776982
CHICAGO IL
60677-6982
US

V. Phone/Fax

Practice location:
  • Phone: 231-672-7000
  • Fax: 231-728-5041
Mailing address:
  • Phone: 800-494-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704354425
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: