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

Sawsan Bazzi-Ismail

Individual provider Family Nurse Practitioner · NPI 1508429507

Sawsan Bazzi-Ismail is a Family Nurse Practitioner in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

625 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-2395
Phone: (616) 229-2935
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F02191376 (MI)

Record details

NPI number1508429507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address24627 Rouge River Dr, Dearborn Heights, MI 48127-1765

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