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NPI Code Detail

MEDICARE: NOOR KHALIL FNP-C

MEDICARE: NOOR KHALIL FNP-C
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
1363LF0000XFamily Nurse Practitioner4704349552MI

General Provider Information

NPI Number : 1669100541
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOOR KHALIL FNP-C
Provider Business Mailing Address
First Line : 5823 MIDDLEBELT RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-2459
Country : US
Telephone Number : 734-421-6333
Fax Number : 734-421-9954
Provider Business Practice Location Address
First Line : 6245 INKSTER RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-4001
Country : US
Telephone Number : 313-451-3452
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2022
Last Update Date : 02/06/2026

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Directions to “ NOOR KHALIL FNP-C” Practice Location

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