Provider Demographics
NPI:1336021872
Name:ALZAILAEI, AFNAN HUSSEIN
Entity type:Individual
Prefix:
First Name:AFNAN
Middle Name:HUSSEIN
Last Name:ALZAILAEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48210-2002
Mailing Address - Country:US
Mailing Address - Phone:248-915-5719
Mailing Address - Fax:
Practice Address - Street 1:4895 CABOT ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48210-2002
Practice Address - Country:US
Practice Address - Phone:248-915-5719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI24144050501163WM0102X, 163WN0003X, 163WX0002X
176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk
No176B00000XOther Service ProvidersMidwife