Provider Demographics
NPI:1568861417
Name:BENJAMIN, SARAH ELIZABETH (CPNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ELIZABETH
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:CPNP
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:STE L.2200
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9484
Mailing Address - Country:US
Mailing Address - Phone:734-930-4020
Mailing Address - Fax:734-930-4057
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR
Practice Address - Street 2:STE L.2200
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9484
Practice Address - Country:US
Practice Address - Phone:734-930-4020
Practice Address - Fax:734-930-4057
Is Sole Proprietor?:No
Enumeration Date:2014-08-16
Last Update Date:2016-06-20
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Provider Licenses
StateLicense IDTaxonomies
MI4704285570363LP0200X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal