IndividualActive
Maryam Blackeagle
NPI 1104285881 · Licensed Practical Nurse · Dearborn Heights, MI
Maryam Blackeagle is a Licensed Practical Nurse provider in Dearborn Heights, MI (NPI 1104285881).
Provider details
- NPI number
- 1104285881
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4703085481 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8445 Norborne Ave
Dearborn Heights, MI 48127-1125
Phone: (734) 727-3010
Street-level locationGet directions
Mailing address
8445 Norborne Ave
Dearborn Heights, MI 48127-1125
Registry dates
- Enumerated
- 2016-02-23
- Last updated
- 2016-02-23
Frequently asked questions
- What is Maryam Blackeagle's NPI number?
- Maryam Blackeagle's National Provider Identifier (NPI) is 1104285881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maryam Blackeagle's specialty?
- Maryam Blackeagle is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Maryam Blackeagle located?
- Maryam Blackeagle's practice location on file with NPPES is 8445 Norborne Ave, Dearborn Heights, MI 48127-1125.
- What is Maryam Blackeagle's phone number?
- The practice phone number listed in the NPPES registry for Maryam Blackeagle is (734) 727-3010.
- Is Maryam Blackeagle's NPI active?
- Yes — Maryam Blackeagle's NPI (1104285881) is active in the NPPES registry as of the last update on 2016-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.