Individual
MANAR THABATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
43155 MAIN ST STE 2316, NOVI, MI 48375-1781
(248) 934-0274
Mailing address
6648 BURDOCK ST, YPSILANTI, MI 48197-1070
(734) 444-2201
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704339808
MI
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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