Provider Demographics
NPI:1215828900
Name:GEOGHAN, SARAH MARIE (DNP, AGNP-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:GEOGHAN
Suffix:
Gender:F
Credentials:DNP, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 E GARDNER AVE
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9062
Mailing Address - Country:US
Mailing Address - Phone:231-670-9745
Mailing Address - Fax:
Practice Address - Street 1:20095 GILBERT RD STE B
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2366
Practice Address - Country:US
Practice Address - Phone:231-592-1360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704307654363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care