Individual provider · Type 1 NPI

Amjad Ibrahim

Psychiatric/Mental Health Nurse Practitioner · Royal Oak, MI

NPI number 1487534889 Active

Practice location

220 S Main St
Royal Oak, MI 48067-2676

Call (248) 216-4704 Map

Fax (947) 245-4212

Mailing address

2969 Orchard Pl
Orchard Lake, MI 48324-2362

Other practice locations

  • 1355 Bogue St, East Lansing, MI 48824-6207 · (800) 605-6424

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704311666 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1487534889

Amjad Ibrahim's National Provider Identifier is 1487534889, issued on Sep 5, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 2, 2026.