Individual provider · Type 1 NPI

Maya Mortada

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1346645108 Active

Practice location

1 Ford Pl, 4B
Detroit, MI 48202-3450

Mailing address

920 N Mildred St
Dearborn, MI 48128-1733

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704277486 (MI)

Pediatric Nurse Practitioner: Definition to come...

100 other providers at this address

Other pediatric nurse practitioner providers in Detroit

See all in Detroit →

About NPI 1346645108

Maya Mortada's National Provider Identifier is 1346645108, issued on Oct 22, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Oct 22, 2014.