Fatima Abdallah, FNP-BC
Nurse Practitioner, Family in Dearborn, MI. Individual provider (NPI-1).
NPI number1831783695
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1831783695
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Fatima Abdallah
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704301119 | MI | Yes |
Practice location
10140 Vernor HwyDearborn, MI 48120-1515
Phone 313-438-6059
Mailing address
10140 Vernor HwyDearborn, MI 48120-1515
Phone 313-438-6059
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 140 Family Nurse Practitioner providers in Dearborn · All 7,276 providers in Dearborn
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