Individual
TARICK NAEL ELAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
35932 OLD HOMESTEAD DR, FARMINGTON HILLS, MI 48335-2037
(313) 399-6033
Mailing address
35932 OLD HOMESTEAD DR, FARMINGTON HILLS, MI 48335-2037
(313) 399-6033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
47043483
MI
363L00000X
Nurse Practitioner
Primary
4704348360
MI
Other
Enumeration date
05/27/2022
Last updated
05/10/2023
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