Fatima Abdallah, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Dearborn, MI
NPI 1831783695 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1831783695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704301119 (MI)
- Practice address
- 10140 Vernor Hwy
Dearborn, MI 48120-1515 - Phone
- (313) 438-6059
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210811004356 | MI | Practitioner - Nurse Practitioner | 7315341427 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704301119 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Za Medical Associates PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704301119 | MI | Yes |
Addresses
Primary practice location
10140 Vernor Hwy
Dearborn, MI 48120-1515
Mailing address
10140 Vernor Hwy
Dearborn, MI 48120-1515
Phone (313) 438-6059
Other providers in Dearborn, MI
- Abc Physical Therapy LLC
- Mohd A Abd Rahman
- Belal Fouad Abdallah
- Dena Abdallah
- Dunia Abdallah
- Fatmeh Abdallah
- Hassan Khaled Abdallah
- Malak Abdallah
- Marriam Abdallah
- Mossab Abdallah
All providers in Dearborn, 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 Apr 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.