Healthcare Provider Details

I. General information

NPI: 1821760042
Provider Name (Legal Business Name): ABIGAIL SARAH FLORES MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL BILLS

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13530 MICHIGAN AVE STE 280
DEARBORN MI
48126-3575
US

IV. Provider business mailing address

12245 WHITE LAKE RD
FENTON MI
48430-2552
US

V. Phone/Fax

Practice location:
  • Phone: 313-476-3940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704341470
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: