Individual
MIA LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
10800 E CANFIELD ST, DETROIT, MI 48214-1601
(313) 823-6000
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 999-5829
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704264783
MI
Other
Enumeration date
11/20/2012
Last updated
12/29/2025
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