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

Maryam Blackeagle

Individual provider Licensed Practical Nurse · NPI 1104285881

Maryam Blackeagle is a Licensed Practical Nurse in Dearborn Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

8445 Norborne Ave
Dearborn Heights, MI 48127-1125
Phone: (734) 727-3010
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703085481 (MI)

Record details

NPI number1104285881
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESFebruary 23, 2016
Mailing address8445 Norborne Ave, Dearborn Heights, MI 48127-1125

Other providers in Dearborn Heights