Individual provider · Type 1 NPI

Abigail Jean Antonides, NP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1093596819 Active

Practice location

145 Michigan St NE Ste 3410
Grand Rapids, MI 49503-2563

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704322678 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1093596819

Abigail Jean Antonides, NP's National Provider Identifier is 1093596819, issued on Oct 9, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 2, 2025.