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

Mouna Bazzi, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1073225678

Mouna Bazzi, NURSEPRACTITIONER is a Nurse Practitioner in Dearborn, Michigan. Graduated from Wayne State University School of Medicine in 2022, 4 years ago. Practices with University Physician Group, a 402-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4700 Schaefer Rd Ste 260
Dearborn, MI 48126-3743
Phone: (947) 523-4650
Show map & directions

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

Additional practice locations (1)

  • 18101 Oakwood Blvd, Dearborn, MI 48124-4089 — (313) 593-7000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704327655 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704327655 (MI)

Record details

NPI number1073225678
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedDecember 15, 2022
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Dearborn