Healthcare Provider Details

I. General information

NPI: 1568139624
Provider Name (Legal Business Name): AAZHANE' HEARON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10574 OAK LN APT 13306
VAN BUREN TOWNSHIP MI
48111-4382
US

IV. Provider business mailing address

10574 OAK LN APT 13306
VAN BUREN TOWNSHIP MI
48111-4382
US

V. Phone/Fax

Practice location:
  • Phone: 734-497-8680
  • Fax:
Mailing address:
  • Phone: 734-497-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: