Provider Demographics
NPI:1376226480
Name:HUSSIN, NORA AMIN
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:AMIN
Last Name:HUSSIN
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 1:17236 HARMAN ST
Mailing Address - Street 2:
Mailing Address - City:MELVINDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48122-1060
Mailing Address - Country:US
Mailing Address - Phone:313-231-8746
Mailing Address - Fax:
Practice Address - Street 1:17236 HARMAN ST
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1060
Practice Address - Country:US
Practice Address - Phone:313-231-8746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist