IndividualActive
Anthony Fazi, NP
NPI 1851743140 · Adult Health Nurse Practitioner · Saint Clair Shores, MI
Provider details
- NPI number
- 1851743140
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 4704289684 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186
Phone: (586) 773-1300
Fax: (586) 773-1600
Approximate (ZIP-level) locationGet directions
Mailing address
23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186
Additional practice locations (1)
- 22701 Hall Rd Ste 100Macomb, MI 48042-5270Phone: (586) 416-1300Fax: (586) 416-1600
Registry dates
- Enumerated
- 2016-07-11
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.