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

Thamina Ali Issa, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1790457455

Thamina Ali Issa, AGACNP-BC is a Gerontology Nurse Practitioner in Ypsilanti, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

5459 Whittaker Rd
Ypsilanti, MI 48197-9751
Phone: (734) 945-7394
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704321266 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704321266 (MI)

Record details

NPI number1790457455
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

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