Individual provider · Type 1 NPI

Sawsan Bazzi-Ismail

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1508429507 Active

Practice location

625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395

Mailing address

24627 Rouge River Dr
Dearborn Heights, MI 48127-1765

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF02191376 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1508429507

Sawsan Bazzi-Ismail's National Provider Identifier is 1508429507, issued on Apr 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 1, 2022.