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Individual

MS. OLIVIA BREANNA HARPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM, FNP

Contact information

Practice address
14648 INDIANA ST, DETROIT, MI 48238-1771
(313) 333-6928
Mailing address
14630 INDIANA ST, DETROIT, MI 48238-1771
(313) 282-0500

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
0019576
OH
367A00000X
Advanced Practice Midwife
Primary
4704397757
MI

Other

Enumeration date
11/14/2019
Last updated
01/02/2024
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