Provider Demographics
NPI:1053028837
Name:KEYES, SARAH E (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:E
Last Name:KEYES
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:STRACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 S SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-2665
Mailing Address - Country:US
Mailing Address - Phone:231-773-9200
Mailing Address - Fax:
Practice Address - Street 1:2500 S SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-2665
Practice Address - Country:US
Practice Address - Phone:231-773-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704301906363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner