Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 4704287438 | MI |
NPI | 1003347931 |
---|---|
Provider Name | Rana Saad |
First Address | Dearborn Heights, MI 48127-2801 |
Second Address | Dearborn Heights, MI 48127-2801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2017 |
Last Update Date | 22/03/2017 |