Individual
MARIAM H KHANAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP
Contact information
Practice address
5728 SCHAEFER RD STE 103, DEARBORN, MI 48126-2287
(313) 581-8080
Mailing address
1056 N CHARLESWORTH ST, DEARBORN HEIGHTS, MI 48127-3630
(313) 492-5975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704303967
MI
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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