Healthcare Provider Details

I. General information

NPI: 1427915214
Provider Name (Legal Business Name): SAMAH ALSALMANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S ADAMS RD
BIRMINGHAM MI
48009-7005
US

IV. Provider business mailing address

30622 SHERIDAN ST
GARDEN CITY MI
48135-1399
US

V. Phone/Fax

Practice location:
  • Phone: 248-646-9597
  • Fax:
Mailing address:
  • Phone: 248-646-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704398180
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: