Provider Demographics
NPI:1467258913
Name:HALSEY, SARAH (CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HALSEY
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12028 BRYDE DR
Mailing Address - Street 2:
Mailing Address - City:RIVES JUNCTION
Mailing Address - State:MI
Mailing Address - Zip Code:49277-9804
Mailing Address - Country:US
Mailing Address - Phone:517-917-8567
Mailing Address - Fax:
Practice Address - Street 1:12028 BRYDE DR
Practice Address - Street 2:
Practice Address - City:RIVES JUNCTION
Practice Address - State:MI
Practice Address - Zip Code:49277-9804
Practice Address - Country:US
Practice Address - Phone:517-917-8567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife