Provider Demographics
NPI:1154978138
Name:ZAIOUR, FATME AHMAD (DNP)
Entity type:Individual
Prefix:
First Name:FATME
Middle Name:AHMAD
Last Name:ZAIOUR
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34147 WARREN RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-7045
Mailing Address - Country:US
Mailing Address - Phone:313-333-9235
Mailing Address - Fax:
Practice Address - Street 1:10144 VERNOR HWY
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48120-1515
Practice Address - Country:US
Practice Address - Phone:313-438-6059
Practice Address - Fax:313-914-7283
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704308955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily