Healthcare Provider Details

I. General information

NPI: 1144848706
Provider Name (Legal Business Name): HALA ALI HOJEIJE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5728 SCHAEFER RD STE 103
DEARBORN MI
48126-2287
US

IV. Provider business mailing address

5728 SCHAEFER RD STE 103
DEARBORN MI
48126-2287
US

V. Phone/Fax

Practice location:
  • Phone: 313-581-8080
  • Fax: 313-581-8383
Mailing address:
  • Phone: 313-575-8439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704288281
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: