Individual
SOPHIA AWAD ATIFAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 SCHAEFER RD, DEARBORN, MI 48126-2212
(313) 945-8138
(313) 203-3390
Mailing address
19445 W WARREN AVE, DETROIT, MI 48228-3361
(734) 324-0055
(313) 281-2235
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704339547
MI
363L00000X
Nurse Practitioner
Primary
4704339547
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704339547
MI
Other
Enumeration date
04/15/2025
Last updated
04/22/2026
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