| NPI | 1023637766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAAFER BEYDOUN Nurse Practitioner 734-658-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center Health Service | |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2021-11-20 |