Individual provider · NPI-1

Dominic Ondieki Abuya, FNP-BC

Nurse Practitioner, Family · Grand Rapids, MI

NPI number1053984609
StatusActive
Last updated in NPPESDec 3, 2021

Details

NPI
1053984609
Entity type
Individual (NPI-1)
Name
Mr. Dominic Ondieki Abuya
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Jul 21, 2021
Certification date
Dec 3, 2021
Last updated
Dec 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704301890MIYes

Practice location

145 Michigan St Ne Ste 3410
Grand Rapids, MI 49503-2563

Phone 616-391-9945

Mailing address

100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560

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