Individual provider · Type 1 NPI

Mahnoor Ibadat, ACNPC-AG

Acute Care Nurse Practitioner · Royal Oak, MI

NPI number 1144096017 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Fax (248) 898-1473

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704344126 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1144096017

Mahnoor Ibadat, ACNPC-AG's National Provider Identifier is 1144096017, issued on Nov 30, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Royal Oak, MI. The record was last updated on May 28, 2024.