Individual provider · Type 1 NPI
Ahmed Ihsan Mirza, FNP-C
Family Nurse Practitioner · Allen Park, MI
NPI number
1407320559
Active
Practice location
19100 Goddard Rd
Allen Park, MI 48101-1156
Fax (313) 771-9947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 079537-23 (NH) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Kristin Hall, FNPFamily Nurse Practitioner Allen Park, MI NPI 1760158216
About NPI 1407320559
Ahmed Ihsan Mirza, FNP-C's National Provider Identifier is 1407320559, issued on Jan 11, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Allen Park, MI. The record was last updated on Jun 17, 2023.