MEDICARE: ABIGAIL HUIZENGA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704389982	MI

General Provider Information

NPI Number	:	1366305641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL HUIZENGA

Provider Business Mailing Address
First Line	:	7330 TYLERWOOD CT
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-9794
Country	:	US
Telephone Number	:	616-298-4603
Fax Number	:

Provider Business Practice Location Address
First Line	:	7330 TYLERWOOD CT
Second Line	:
City	:	HUDSONVILLE
State	:	MI
Zip	:	49426-9794
Country	:	US
Telephone Number	:	616-298-4603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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Directions to “ ABIGAIL HUIZENGA ” Practice Location

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