Provider Demographics
NPI:1851812994
Name:LIM, SARAH BENSON (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BENSON
Last Name:LIM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3507
Mailing Address - Country:US
Mailing Address - Phone:248-588-2222
Mailing Address - Fax:248-577-9999
Practice Address - Street 1:3216 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3507
Practice Address - Country:US
Practice Address - Phone:248-588-2222
Practice Address - Fax:248-577-9999
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704289622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704289622OtherRN LICENSE