MEDICARE: SARAH WESTENBROEK DNP, FNP-BC

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	4704354425	MI

General Provider Information

NPI Number	:	1902690365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WESTENBROEK DNP, FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 776982
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6982
Country	:	US
Telephone Number	:	800-494-5797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3570 HENRY ST STE 120
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-4576
Country	:	US
Telephone Number	:	231-672-7000
Fax Number	:	231-728-5041

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

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	12/03/2025

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