Individual
SARA A DOYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
321 WASHINGTON AVE, GRAND HAVEN, MI 49417-1358
(219) 741-7655
Mailing address
321 WASHINGTON AVE, GRAND HAVEN, MI 49417-1358
(219) 741-7655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28199807A
IN
363LF0000X
Family Nurse Practitioner
18306101128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306101128
STATE OF MICHIGANDEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF NURSING
MI
Enumeration date
11/13/2018
Last updated
11/13/2018
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