Individual
MIRVAT BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7542 WYOMING ST, DEARBORN, MI 48126-1690
(313) 415-1515
Mailing address
7542 WYOMING ST, DEARBORN, MI 48126-1690
(313) 415-1515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704320470NSA200WE
MI
Other
Enumeration date
11/23/2020
Last updated
12/03/2020
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