Individual
THAMINA ALI ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5459 WHITTAKER RD, YPSILANTI, MI 48197-9751
(734) 945-7394
Mailing address
5459 WHITTAKER RD, YPSILANTI, MI 48197-9751
(734) 945-7394
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704321266
MI
363LG0600X
Gerontology Nurse Practitioner
4704321266
MI
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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