Individual provider · Type 1 NPI

Mariam Beydoun

Nurse Practitioner · Dearborn, MI

NPI number 1245929587 Active

Practice location

4700 Greenfield Rd Ste 2E
Dearborn, MI 48126-4124

Call (313) 740-1111 Map

Fax (313) 672-6241

Mailing address

26516 Lawrence Dr
Dearborn Heights, MI 48127-3380

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4704359368 (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 1245929587

Mariam Beydoun's National Provider Identifier is 1245929587, issued on May 3, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dearborn, MI. The record was last updated on May 3, 2023.