Individual
AZRA ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
2205 JOLLY RD STE B, OKEMOS, MI 48864-3983
(517) 347-4085
Mailing address
PO BOX 40412, BELFAST, ME 04915-1255
(248) 824-6500
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704287117
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704287117
MI
Other
Enumeration date
11/19/2020
Last updated
07/21/2025
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