Provider Demographics
NPI:1417718065
Name:ABDALLAH, ZIENAB NAZIH (FNP)
Entity Type:Individual
Prefix:
First Name:ZIENAB
Middle Name:NAZIH
Last Name:ABDALLAH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7755 TERNES ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1017
Mailing Address - Country:US
Mailing Address - Phone:313-603-0110
Mailing Address - Fax:
Practice Address - Street 1:7755 TERNES ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1017
Practice Address - Country:US
Practice Address - Phone:313-603-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704377764363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily