Provider Demographics
NPI:1336798339
Name:JOOST, SARA L (CFNP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:L
Last Name:JOOST
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:L
Other - Last Name:FLANIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CFNP
Mailing Address - Street 1:30795 23 MILE RD. SUITE 202
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047
Mailing Address - Country:US
Mailing Address - Phone:586-421-1740
Mailing Address - Fax:586-421-1744
Practice Address - Street 1:30795 23 MILE RD. SUITE 202
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047
Practice Address - Country:US
Practice Address - Phone:586-421-1740
Practice Address - Fax:586-421-1744
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704304288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily