Individual provider · NPI-1
Munazza Ahmed
Nurse Practitioner, Primary Care · Livonia, MI
NPI number1891192159
StatusActive
Last updated in NPPESFeb 2, 2016
Details
- NPI
- 1891192159
- Entity type
- Individual (NPI-1)
- Name
- Munazza Ahmed
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2014
- Last updated
- Feb 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 4704256561 | MI | Yes |
Practice location
29200 Schoolcraft RoadLivonia, MI 48150
Phone 734-523-2433
Mailing address
38468 Watson CirWestland, MI 48186-5069
Phone 313-505-5097
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