Provider Demographics
NPI:1134339567
Name:OPARA, JULIANA A (RN, PHN)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:A
Last Name:OPARA
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16701 GREENVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48219-4122
Mailing Address - Country:US
Mailing Address - Phone:313-531-3704
Mailing Address - Fax:
Practice Address - Street 1:1151 TAYLOR STREET, 212-A
Practice Address - Street 2:DETROIT HEALTH DEPT COMMUNICABLE DISEASE DIVISION
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1732
Practice Address - Country:US
Practice Address - Phone:313-876-4597
Practice Address - Fax:313-876-0070
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704110931163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health