MEDICARE: HIRA ARIF NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	AG02210065	MI

General Provider Information

NPI Number	:	1821742123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIRA ARIF NP

Provider Business Mailing Address
First Line	:	2142 MONROE ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-3057
Country	:	US
Telephone Number	:	248-365-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2142 MONROE ST
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-3057
Country	:	US
Telephone Number	:	248-365-4182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2022
Last Update Date	:	09/26/2022

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