Provider Demographics
NPI:1013557206
Name:AOUN, ZAINA H
Entity type:Individual
Prefix:
First Name:ZAINA
Middle Name:H
Last Name:AOUN
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 1:839 S HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1643
Mailing Address - Country:US
Mailing Address - Phone:313-603-0707
Mailing Address - Fax:
Practice Address - Street 1:839 S HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1643
Practice Address - Country:US
Practice Address - Phone:313-603-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-15
Last Update Date:2024-06-26
Deactivation Date:2024-06-10
Deactivation Code:
Reactivation Date:2024-06-21
Provider Licenses
StateLicense IDTaxonomies
106S00000X
MI4704370556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician