Individual provider · Type 1 NPI
Sophia Awad Atifah
Psychiatric/Mental Health Nurse Practitioner · Dearborn, MI
NPI number
1760278048
Active
Practice location
6451 Schaefer Rd
Dearborn, MI 48126-2212
Fax (313) 203-3390
Mailing address
19445 W Warren Ave
Detroit, MI 48228-3361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704339547 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1760278048
Sophia Awad Atifah's National Provider Identifier is 1760278048, issued on Apr 15, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dearborn, MI. The record was last updated on Apr 22, 2026.