Individual provider · Type 1 NPI

Sandy Antoun, NP

Nurse Practitioner · Clinton Township, MI

NPI number 1194084400 Active

Practice location

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550

Fax (586) 948-1386

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-4021

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704272597 (MI)
Nurse Practitioner Primary 363L00000X4704272597 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1194084400

Sandy Antoun, NP's National Provider Identifier is 1194084400, issued on May 7, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton Township, MI. The record was last updated on Oct 19, 2026.