MEDICARE: SARA LYNN HILTON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704293692	MI

General Provider Information

NPI Number	:	1275237810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA LYNN HILTON FNP

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE
Second Line	:	MC 845
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 ATKINSON DR STE 200
Second Line	:
City	:	LUDINGTON
State	:	MI
Zip	:	49431-1917
Country	:	US
Telephone Number	:	231-843-6767
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	03/06/2026

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