Miss Aaliyah Hayat Seifullah, NURSE PRACTITIONER | |
212 S Sullivan Ave, Fremont, MI 49412-1548 | |
(866) 270-4203 | |
Not Available |
Full Name | Miss Aaliyah Hayat Seifullah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 212 S Sullivan Ave, Fremont, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174752281 | NPI | - | NPPES |
18530 | Other | CA | NURSE PRACTITIONER LICENSE |
4704239741 | Other | MI | NURSE PRACTITIONER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18530 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4704239741 (Michigan) | Primary |
Entity Name | Ascension Borgess Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
Entity Name | Forest View Psychiatric Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902808272 PECOS PAC ID: 6709980907 Enrollment ID: O20070328000193 |
Mailing Address | Practice Location Address |
---|---|
Miss Aaliyah Hayat Seifullah, NURSE PRACTITIONER Po Box 22067, Lansing, MI 48909-2067 Ph: (616) 975-1845 | Miss Aaliyah Hayat Seifullah, NURSE PRACTITIONER 212 S Sullivan Ave, Fremont, MI 49412-1548 Ph: (866) 270-4203 |
Joni Lynn Erlewein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 W Oak St, Fremont, MI 49412 Phone: 231-924-1305 | |
Tressa Kellogg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-3300 | |
Mr. Alan L Nieboer, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 Fax: 231-924-1810 | |
James J. Mead, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 | |
Jennifer Renee Rigg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 616-391-3139 Fax: 616-391-3044 | |
Suzanne Ball, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 |