Provider Demographics
NPI:1265116693
Name:NANUK HEALTH
Entity type:Organization
Organization Name:NANUK HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOHAN
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C, ENP-C
Authorized Official - Phone:808-698-6724
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-0190
Mailing Address - Country:US
Mailing Address - Phone:808-698-6724
Mailing Address - Fax:844-596-0406
Practice Address - Street 1:1150 SHEFFIELD RD
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-8210
Practice Address - Country:US
Practice Address - Phone:808-698-6724
Practice Address - Fax:844-596-0406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care