| Mia Love, CPNP | |
|
10800 E Canfield St, Detroit, MI 48214-1601 | |
| (313) 823-6000 | |
| (313) 876-1305 |
| Full Name | Mia Love |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 10800 E Canfield St, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295079895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704264783 (Michigan) | Primary |
| Entity Name | Henry Ford Health System-school Based Health Initiative |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104010578 PECOS PAC ID: 3072875517 Enrollment ID: O20180322000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Love, CPNP 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (800) 999-5829 | Mia Love, CPNP 10800 E Canfield St, Detroit, MI 48214-1601 Ph: (313) 823-6000 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 |
Jaina Sabu Samuel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 |
Caitlin N Yoder, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994 |
Mikayla William, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 |
Michelle M Wojek, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Renaissance Ctr, Suite 2066, Detroit, MI 48243 Phone: 888-731-8994 |
Tiwanna Jeaninne Williams, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204 Phone: 313-824-1000 |