Individual
MRS. RAEANNA COONER HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4100 GREYSTONE DR, BIRMINGHAM, AL 35242-6409
(205) 522-7473
Mailing address
3641 SHANDWICK PL, BIRMINGHAM, AL 35242-6418
(205) 522-7473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-136270
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NO INSURANCE BILLING
—
Enumeration date
11/10/2022
Last updated
11/10/2022
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