Individual provider · NPI-1

Nawres Al-Ghazaly, FNP-BC

Nurse Practitioner, Family · Southfield, MI

NPI number1902564065
StatusActive
Last updated in NPPESOct 27, 2022

Details

NPI
1902564065
Entity type
Individual (NPI-1)
Name
Nawres Al-Ghazaly
Credential
FNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Dec 6, 2021
Certification date
Oct 27, 2022
Last updated
Oct 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704346333MIYes

Practice location

23832 Southfield Rd
Southfield, MI 48075-8000

Phone 248-569-2600 · Fax 248-569-2610

Mailing address

23832 Southfield Rd
Southfield, MI 48075-8000

Phone 248-569-2600

Is something wrong?

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.

Other Nurse Practitioner, Family providers in Southfield, MI