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Maya Mortada
Pediatric Nurse Practitioner in Detroit, Michigan
NPI 1346645108

Maya Mortada is a Pediatric Nurse Practitioner based in Dearborn, MI and is specialized in Pediatrics. Maya Mortada practices in Detroit, MI. The NPI Number for Maya Mortada is 1346645108 and holds a License No. 4704277486 (Michigan).

The current practice location address for Maya Mortada is 1 Ford Pl, Detroit, MI and can be reached out via phone at 313-404-9960. You can also correspond with Maya Mortada through the mailing address at 920 N MILDRED ST, DEARBORN, MI - 48128-1733 (mailing address contact number: 313-404-9960).

Location: 1 Ford Pl, Detroit, MI, 48128-1733
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Provider Profile Details
NPI Number
1346645108
Provider Name
Maya Mortada
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Ford Pl, Detroit, MI, 48128-1733
Phone Number
313-404-9960
Fax Number
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Ford Pl
City
State
Zip
48202-3450
Phone Number
313-404-9960
Fax Number
person
Provider Business Mailing Address Details
Address
1 Ford Pl
City
State
Zip
48202-3450
Phone Number
313-404-9960
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704277486 (Michigan)
Definition
Definition to come...
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