MAVJUDA SAYDAZAMOVA


Address: 80 68th St Se, Grand Rapids, MI 49548-6980
Phone: 6163918242

MAVJUDA SAYDAZAMOVA (NPI# 1538705660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538705660
Entity Type Individual
Full Name MAVJUDA SAYDAZAMOVA
Credential FNP
Practice Address 80 68th St Se
Grand Rapids
MI 49548-6980
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6163918242
Enumeration Date 2019-11-25
Last Update Date 2020-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
4704324263 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 80 68TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49548-6980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275529562 Spectrum Health Hospitals Clinic/Center 80 68th St Se, Grand Rapids, MI 49548-6980 2005-09-22
1033746565 Samantha Nicole Lubbers Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-03-25
1912531054 Christof Charles Muller Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-27
1477185718 Austin James Redick Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-05
1770114266 George Michael Mcconnell Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2020-02-03
1245861251 Holly Elizabeth Mullen Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2020-01-29
1417596008 Jennifer Nicole Lehman Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-12-30
1396398236 Marlee Jayne Bogema Nurse Practitioner 80 68th St Se, Grand Rapids, MI 49548-6980 2019-07-19
1013472695 Micah Nahum Foster Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-02-07
1912470493 Callie Marie Radford Physician Assistant 80 68th St Se, Grand Rapids, MI 49548-6980 2019-01-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205319811 Pooja Patel Social Worker Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 2018-09-10
1063906865 Kimberly Eccher Physician Assistant 300 68th St. Se, Grand Rapids, MI 49548 2018-06-15
1871099481 Baymark of Michigan, Inc. Clinic/Center 5500 Division Avenue Se, Kentwood, MI 49548 2018-04-03
1629507801 Laura Marie Quennoz Psychiatry & Neurology Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 2017-06-09
1821548504 Alison Anderson Technician, Other 103 Roth St Se, Grand Rapids, MI 49548 2016-10-06
1831540152 Jesse Aubil Counselor 264 Montebello St. Se 49548, Grand Rapids, MI 49548 2016-06-28
1306237920 Sarah Benton Social Worker 225 Colrain St Sw, 2, Grand Rapids, MI 49548 2015-02-18
1578996856 Karen Marie Irving Social Worker 3353 Lousma Dr. Se, Wyoming, MI 49548 2013-08-09
1740348044 Robert Kenneth Richmond Preventive Medicine 551 36th Street. Se, Wyoming, MI 49548 2006-12-05
1386738953 Sharita Montiez Hall Social Worker 300 68th Street Se, Grand Rapids, MI 49548 2006-10-03
Find all providers in zip 49548

Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306318498 Ashley Marie Jacobson Nurse Practitioner 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 2018-12-30
1568931673 Jennifer Lavigne Nurse Practitioner 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 2018-11-19
1851886220 Laura Maclam Nurse Practitioner 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 2018-06-27
1609482330 Amy Manderscheid Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-09-18
1417563339 Samantha Marie Utter Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-09-16
1295343986 Elizabeth Ann Evans Nurse Practitioner 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 2020-07-19
1669098935 Andrea Lynn Giffel Nurse Practitioner 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503-2563 2020-06-22
1326672767 Andrea Patrice Sewell Nurse Practitioner 25 Michigan St Ne Ste 6100, Grand Rapids, MI 49503-2561 2020-02-25
1356971261 Sarah Marie Nava Nurse Practitioner 100 Michigan St Ne # Mc019, Grand Rapids, MI 49503-2560 2020-01-20
1790323970 Joshua Dennis Witherspoon Nurse Practitioner 7751 Byron Center Ave Sw, Suite C, Grand Rapids, MI 49351 2019-12-18
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49548

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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