Individual provider · Type 1 NPI

Sarah Rosanne Skavnak, NP

Pediatric Nurse Practitioner · Grand Rapids, MI

NPI number 1548585367 Active

Practice location

100 Michigan St NE # MC117
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704229858 (MI)
Pediatric Nurse Practitioner Primary 363LP0200X4704229858 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1548585367

Sarah Rosanne Skavnak, NP's National Provider Identifier is 1548585367, issued on Apr 5, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 24, 2025.