Individual provider · Type 1 NPI
Avazeh Amirsadri
Family Nurse Practitioner · Detroit, MI
NPI number
1780174631
Active
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
38365 Windsor
Farmington Hills, MI 48331-2851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704297524 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780174631
Avazeh Amirsadri's National Provider Identifier is 1780174631, issued on May 16, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on May 16, 2018.