Healthcare Provider Details

I. General information

NPI: 1750208203
Provider Name (Legal Business Name): MARIA NADHIR FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 N INGALLS ST
ANN ARBOR MI
48109-2003
US

IV. Provider business mailing address

3000 INTERLAKEN ST
WEST BLOOMFIELD MI
48323-1820
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-5985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704389510
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: