Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariam Abdul-Hussein Abbas

Individual provider Gerontology Nurse Practitioner · NPI 1982352811

Mariam Abdul-Hussein Abbas is a Nurse Practitioner in Southgate, Michigan. Qualified in 2021, 5 years ago. Practices with Vitality Health Clinic PLLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022

Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (734) 324-8326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704286635 (MI)

Record details

NPI number1982352811
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 8, 2022
Mailing address732 Dover St, Dearborn Heights, MI 48127-4114

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vitality Health Clinic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southgate