Provider Demographics
NPI:1407601198
Name:HARPER-BREES, SHELBY ALEXANDRA (CBD)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:ALEXANDRA
Last Name:HARPER-BREES
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 N DEARING RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:MI
Mailing Address - Zip Code:49269-9778
Mailing Address - Country:US
Mailing Address - Phone:517-917-0090
Mailing Address - Fax:
Practice Address - Street 1:5314 N DEARING RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:MI
Practice Address - Zip Code:49269-9778
Practice Address - Country:US
Practice Address - Phone:517-917-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula