IndividualActive
Ahmed Mirza, FNP-C
NPI 1407320559 · Family Nurse Practitioner · Allen Park, MI
Provider details
- NPI number
- 1407320559
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 079537-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19100 Goddard Rd
Allen Park, MI 48101-1156
Phone: (313) 763-0309
Fax: (313) 771-9947
Approximate (ZIP-level) locationGet directions
Mailing address
19100 Goddard Rd
Allen Park, MI 48101-1156
Registry dates
- Enumerated
- 2019-01-11
- Last updated
- 2023-06-17
- Certified
- 2023-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.