Provider Demographics
NPI:1063847101
Name:PURSIFULL, SARAH ELIZABETH (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELIZABETH
Last Name:PURSIFULL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:30055 NORTHWESTERN HWY STE 240
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3211
Mailing Address - Country:US
Mailing Address - Phone:248-865-4242
Mailing Address - Fax:248-354-2779
Practice Address - Street 1:30055 NORTHWESTERN HWY STE 240
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-865-4242
Practice Address - Fax:248-354-2779
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2019-01-15
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Provider Licenses
StateLicense IDTaxonomies
MI5601006778363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant