Individual
IRENE CHEBIWOT MAIYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 SANIBEL HOLW, HOLT, MI 48842-8755
(517) 528-2852
Mailing address
3100 ERWIN RD, DURHAM, NC 27705-4505
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704324669
MI
363LF0000X
Family Nurse Practitioner
5019482
NC
Other
Enumeration date
11/09/2023
Last updated
12/10/2025
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