Individual provider · Type 1 NPI
Ahmad Fawaz
Nurse Practitioner · Troy, MI
Practice location
2241 Atlas Dr
Troy, MI 48083-2452
Mailing address
PO Box 638257
Cincinnati, OH 45263-8257
Other practice locations
- 10000 Telegraph Rd, Taylor, MI 48180 · (313) 295-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | 4704296870 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4707317809 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1073998761
Ahmad Fawaz's National Provider Identifier is 1073998761, issued on Jul 23, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Troy, MI. The record was last updated on Jul 22, 2025.