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

Mariam Beydoun

Individual provider Nurse Practitioner · NPI 1245929587

Mariam Beydoun is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2022, 4 years ago. Practices with Providers Tek Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4700 Greenfield Rd Ste 2E
Dearborn, MI 48126-4124
Phone: (313) 740-1111
Fax: (313) 672-6241
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704359368 (MI)

Record details

NPI number1245929587
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address26516 Lawrence Dr, Dearborn Heights, MI 48127-3380

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providers Tek Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dearborn