Individual provider · NPI-1

Allison Bazzi, FNP

Nurse Practitioner, Family · Livonia, MI

NPI number1053011205
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1053011205
Entity type
Individual (NPI-1)
Name
Allison Bazzi
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 7, 2023
Certification date
Oct 18, 2022
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704333327MIYes
363LP2300X Nurse Practitioner, Primary Care4704333327MI

Practice location

18312 Middlebelt Rd
Livonia, MI 48152-5007

Phone 248-426-9944

Mailing address

5885 Golfview Dr
Dearborn Hts, MI 48127-2474

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