Individual provider · Type 1 NPI

Irene Chebiwot Maiyo

Nurse Practitioner · Holt, MI

NPI number 1679347611 Active

Practice location

2631 Sanibel Holw
Holt, MI 48842-8755

Mailing address

3100 Erwin Rd
Durham, NC 27705-4505

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704324669 (MI)
Family Nurse Practitioner 363LF0000X5019482 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679347611

Irene Chebiwot Maiyo's National Provider Identifier is 1679347611, issued on Nov 9, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Holt, MI. The record was last updated on Dec 10, 2025.