Houda Abdallah
Individual provider Active NPI Family Nurse Practitioner · Oak Park, MI
NPI 1811524655 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1811524655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704326779NSA20046 (MI)
- Practice address
- 24661 Coolidge Hwy
Oak Park, MI 48237-1449 - Phone
- (248) 398-4000
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704326779NSA20046 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 4704326779NSA20046 | MI | Yes |
Addresses
Primary practice location
24661 Coolidge Hwy
Oak Park, MI 48237-1449
Mailing address
26289 Sheahan Dr
Dearborn Heights, MI 48127-4117
Phone (313) 658-7778
Other practice location 1
26289 Sheahan Dr
Dearborn Heights, MI 48127-4117
Phone (313) 658-7778
Other providers in Oak Park, MI
- A2Z Medical Equipment Inc.
- Aaa Home Health Services Inc
- Abc Best Solutions
- Abc Home Care LLC
- Yasmine M. Abd Elhamed
- Patricia Abinoja
- Abraham S Madany MD PLLC
- Abyssinin Loveknot LLC
- Access and Vascular Care
- Ace Home Health Care Inc
All providers in Oak Park, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.