MEDICARE: SARAH SCOUTEN PMHNP

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	163W00000X	Registered Nurse	417530	OH
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0032902	OH

General Provider Information

NPI Number	:	1952024887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SCOUTEN PMHNP

Provider Business Mailing Address
First Line	:	44060 WOODWARD AVE STE 200
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5040
Country	:	US
Telephone Number	:	248-957-9184
Fax Number	:

Provider Business Practice Location Address
First Line	:	44060 WOODWARD AVE STE 200
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-5040
Country	:	US
Telephone Number	:	248-957-9184
Fax Number	:

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

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	10/05/2025

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