IndividualActive
Abigail Antonides, NP
NPI 1093596819 · Gerontology Nurse Practitioner · Grand Rapids, MI
Provider details
- NPI number
- 1093596819
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704322678 (MI)
Practice location
145 Michigan St Ne Ste 3410
Grand Rapids, MI 49503-2563
Phone: (616) 391-9945
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2025-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.