MEDICARE: ABBASS HAMZE 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	163W00000X	Registered Nurse	4704313441	MI
2	261QU0200X	Urgent Care Clinic/Center	4704313441	MI
3	363L00000X	Nurse Practitioner	4704313441	MI

General Provider Information

NPI Number	:	1952945529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBASS HAMZE NP

Provider Business Mailing Address
First Line	:	8188 N TELEGRAPH RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1433
Country	:	US
Telephone Number	:	313-415-2500
Fax Number	:	313-454-4105

Provider Business Practice Location Address
First Line	:	8188 N TELEGRAPH RD
Second Line	:
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1433
Country	:	US
Telephone Number	:	313-415-2500
Fax Number	:	313-454-4105

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

Provider Enumeration Date	:	11/06/2019
Last Update Date	:	02/10/2023

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