Individual
MISS SARAH RENEE BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN FNP-C
Contact information
Practice address
30920 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7738
(248) 647-0000
Mailing address
30920 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7738
(248) 930-8281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704275715
MI
363L00000X
Nurse Practitioner
0024190929
VA
363L00000X
Nurse Practitioner
Primary
4704275715
MI
363L00000X
Nurse Practitioner
APRN.CNP.0037219
OH
363LF0000X
Family Nurse Practitioner
4704275715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528681561
—
MI
Enumeration date
05/24/2020
Last updated
07/30/2025
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