| 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 | Visionary Medical Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538216569 PECOS PAC ID: 1951404185 Enrollment ID: O20070308000475 |
| 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 |
| Entity Name | Ecs Western Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992281000 PECOS PAC ID: 8628327384 Enrollment ID: O20180814003001 |
| Entity Name | Kalamazoo Tc Operator Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427803089 PECOS PAC ID: 5890222566 Enrollment ID: O20241218003640 |
| 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: Medicare Enrolled 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 | |
Sarah Ames, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 616-391-3139 | |
James J. Mead, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 | |
Dominique Rommel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 W Main St, Fremont, MI 49412 Phone: 231-924-1800 |