Individual
ASHRA MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(248) 900-1555
(248) 516-5017
Mailing address
PO BOX 30148, BELFAST, ME 04915-2053
(888) 488-8289
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704275007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316329246
—
MI
Enumeration date
06/27/2015
Last updated
04/01/2022
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