Individual provider · Type 1 NPI

Fredaz Fares, NP

Nurse Practitioner · Dearborn, MI

NPI number 1336690486 Active

Practice location

2040 Monroe St Ste 207
Dearborn, MI 48124-2950

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704317324 (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 1336690486

Fredaz Fares, NP's National Provider Identifier is 1336690486, issued on Oct 24, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dearborn, MI. The record was last updated on Jan 8, 2021.