Provider Demographics
NPI:1962157586
Name:CORGAN, SARAH ELAINE (NP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ELAINE
Last Name:CORGAN
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Gender:
Credentials:NP
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Mailing Address - Street 1:3955 PATIENT CARE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4271
Mailing Address - Country:US
Mailing Address - Phone:517-374-7600
Mailing Address - Fax:885-480-9150
Practice Address - Street 1:3955 PATIENT CARE DR STE A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-4271
Practice Address - Country:US
Practice Address - Phone:517-374-7600
Practice Address - Fax:885-480-9150
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2025-03-25
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Provider Licenses
StateLicense IDTaxonomies
MI4704230974207RI0200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease