Individual
MOHAMED MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
835 MASON ST # A240, DEARBORN, MI 48124-2231
(313) 310-7755
Mailing address
835 MASON ST # A240, DEARBORN, MI 48124-2231
(313) 310-7755
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
363L00000X
Nurse Practitioner
Primary
4704389336
MI
Other
Enumeration date
02/10/2019
Last updated
08/08/2026
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