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NPI Code Detail

MEDICARE: NESRIN HASSAN IBRAHIM

MEDICARE:   NESRIN HASSAN IBRAHIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1528811007
Entity Type Code : Individual
Provider Name (Legal Business Name) : NESRIN HASSAN IBRAHIM
Provider Business Mailing Address
First Line : 711 N VERNON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48128-2512
Country : US
Telephone Number : 313-550-0375
Fax Number :
Provider Business Practice Location Address
First Line : 5669 BURGER ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2409
Country : US
Telephone Number : 313-550-0375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “ NESRIN HASSAN IBRAHIM ” Practice Location

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