Individual provider · Type 1 NPI
Diana S. Kaddouh, FNP
Family Nurse Practitioner · Canton, MI
NPI number
1437021904
Active
Practice location
6300 N Haggerty Rd Ste 220
Canton, MI 48187-4472
Fax (734) 365-6804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704399875 (MI) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1437021904
Diana S. Kaddouh, FNP's National Provider Identifier is 1437021904, issued on Sep 23, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, MI. The record was last updated on Oct 21, 2025.