Healthcare Provider Details

I. General information

NPI: 1649193194
Provider Name (Legal Business Name): HEBA NASSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26095 TIMBER TRL
DEARBORN HEIGHTS MI
48127-4149
US

IV. Provider business mailing address

26095 TIMBER TRL
DEARBORN HEIGHTS MI
48127-4149
US

V. Phone/Fax

Practice location:
  • Phone: 313-399-9278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302417707
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: