Healthcare Provider Details

I. General information

NPI: 1235068792
Provider Name (Legal Business Name): SARAH SALAH ALHAIDI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7304 JONATHON ST
DEARBORN MI
48126-1482
US

IV. Provider business mailing address

7304 JONATHON ST
DEARBORN MI
48126-1482
US

V. Phone/Fax

Practice location:
  • Phone: 313-265-1636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number4704374847
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: