GLORIA ABAKA AYUCK (NPI# 1124391461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124391461 |
| Entity Type | Individual |
| Full Name | GLORIA ABAKA AYUCK |
| Credential | FNP |
| Practice Address |
15115 Dove Trl Apple Valley MN 55124-7871 |
| Mailing Address |
12665 Germane Ave Apt 1 Apple Valley MN 55124-4370 |
| Practice Telephone | 9524233200 |
| Mailing Telephone | 6122396321 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2015-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R181973-7 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15115 DOVE TRL |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639220080 | Michelle Ann Wanner | Physician Assistant | 15115 Dove Trl, Attn: Minuteclinic, Apple Valley, MN 55124-7871 | 2007-01-14 |
| 1730714916 | Nermine Sedrak | Pharmacist | 15115 Dove Trl, Apple Valley, MN 55124-7871 | 2020-03-07 |
| 1770118218 | Renney Susan Britto | Pharmacist | 15115 Dove Trl, Apple Valley, MN 55124-7871 | 2020-03-05 |
| 1376957613 | Lisa F Mohamed Singh | Nurse Practitioner | 15115 Dove Trl, Apple Valley, MN 55124-7871 | 2014-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1912513599 | Krystal Schwing | Nurse Practitioner | 18092 Wika Rd Ste 130, Apple Valley, CA 92307-2132 | 2020-09-19 |
| 1851917264 | Simon Moonkoo Kang | Nurse Practitioner | 15433 Frost Path, Apple Valley, MN 55124-6068 | 2020-06-22 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1912463589 | Kathryn Elizabeth Kizzar | Nurse Practitioner | 12143 Navajo Rd, Apple Valley, CA 92308-7250 | 2019-02-19 |
| 1093137689 | Michelle Downie | Nurse Practitioner | 18112 Us Highway 18, Suite 102, Apple Valley, CA 92307-2211 | 2014-01-15 |
| 1245578707 | Sheri Ann Ricord | Nurse Practitioner | 15920 Pennock Lane, Apple Valley, MN 55124 | 2013-01-17 |
| 1982855698 | Doe Denise Gasque | Nurse Practitioner | 14758 Hopi Rd, Apple Valley, CA 92307-3536 | 2008-10-01 |
| 1104878313 | Hilary Armstrong Winkelmann | Nurse Practitioner | 7300 W 147th Street, Suite 204, Apple Valley, MN 55124 | 2006-05-16 |
| 1457951238 | Amber Lee Pearson | Nurse Practitioner | 15051 Galaxie Ave, Apple Valley, MN 55124-6987 | 2020-10-29 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on GLORIA ABAKA AYUCK.
| 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.