Individual provider · Type 1 NPI
Mamoona Hameed Khan
Psychiatric/Mental Health Nurse Practitioner · Canton, MI
NPI number
1902411259
Active
Practice location
43825 Michigan Ave
Canton, MI 48188-2551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704365990 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1075815 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902411259
Mamoona Hameed Khan's National Provider Identifier is 1902411259, issued on Sep 14, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Canton, MI. The record was last updated on Aug 1, 2025.