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Individual

RULA ATIYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2040 MONROE ST STE 206, DEARBORN, MI 48124-2950
(313) 757-7647
Mailing address
1714 CARRINGTON WAY, BLOOMFIELD HILLS, MI 48302-1217

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704359728
MI
363LF0000X
Family Nurse Practitioner
Primary
4704359728
MI

Other

Enumeration date
04/23/2021
Last updated
09/01/2022
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