Provider Demographics
NPI:1417751132
Name:MILA, SARAH NICOLE (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:MILA
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42225 BARCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3501
Mailing Address - Country:US
Mailing Address - Phone:248-880-0517
Mailing Address - Fax:
Practice Address - Street 1:42225 BARCHESTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3501
Practice Address - Country:US
Practice Address - Phone:248-880-0517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant