Healthcare Provider Details

I. General information

NPI: 1033084892
Provider Name (Legal Business Name): ZEHRAA TAHER FNP-BC, RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 MONROE ST STE 207
DEARBORN MI
48124-2950
US

IV. Provider business mailing address

2040 MONROE ST STE 207
DEARBORN MI
48124-2950
US

V. Phone/Fax

Practice location:
  • Phone: 313-278-5836
  • Fax: 313-789-1631
Mailing address:
  • Phone: 313-278-5836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4704370823
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704370823
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: