Victoria Kathleen Helen Fawaz, NP Valid NPI
Individual provider · Family Nurse Practitioner · Grosse Pointe Farms, MI
- NPI
- 1023763828
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 4704295277 (MI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2022-02-21
- Last updated
- 2022-04-29
Practice location
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
(313) 640-1000