MEDICARE: ABIGAIL SARAH FLORES MSN, APRN, FNP-BC

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	4704341470	MI

General Provider Information

NPI Number	:	1821760042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL SARAH FLORES MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	12245 WHITE LAKE RD
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13530 MICHIGAN AVE STE 280
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3575
Country	:	US
Telephone Number	:	313-476-3940
Fax Number	:

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

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	04/13/2026

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