Provider Demographics
NPI:1619743606
Name:HARPER, KARLA (FNP)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13203 PEMBROKE AVE # 13203
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1167
Mailing Address - Country:US
Mailing Address - Phone:313-330-5613
Mailing Address - Fax:
Practice Address - Street 1:13203 PEMBROKE AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1167
Practice Address - Country:US
Practice Address - Phone:313-330-5613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704292421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine