Individual
SARAH JANE MAYBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
904 WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-8035
(616) 392-7404
Mailing address
904 WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-8035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704308191
MI
363L00000X
Nurse Practitioner
4704308191
MI
363LF0000X
Family Nurse Practitioner
Primary
4704308191
MI
Other
Enumeration date
10/04/2021
Last updated
09/28/2022
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