Individual provider · Type 1 NPI

Ali Bazzy, NP

Nurse Practitioner · Detroit, MI

NPI number 1730602004 Active

Practice location

311 Mack Ave Ste 64100
Detroit, MI 48201-2466

Mailing address

27483 Dequindre Rd Ste 304
Madison Heights, MI 48071-5715

Other practice locations

  • 27483 Dequindre Suite 304, Madison Hgts, MI 48071 · (586) 203-8202

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704295900 (MI)
Nurse Practitioner Primary 363L00000X4704295900 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730602004

Ali Bazzy, NP's National Provider Identifier is 1730602004, issued on Jul 19, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 10, 2020.