Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandy Antoun, NP

Individual provider Nurse Practitioner · NPI 1194084400

Sandy Antoun, NP is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2016, 10 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4160 John R St, Detroit, MI 48201-2020 — (313) 745-2756

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704272597 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704272597 (MI)

Record details

NPI number1194084400
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESJanuary 20, 2023
Certification dateJanuary 20, 2023
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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