Raeanna Cooner Harper, NP
Nurse Practitioner, Family in Birmingham, AL. Individual provider (NPI-1).
NPI number1710695580
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1710695580
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Raeanna Cooner Harper
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-136270 | AL | Yes |
Practice location
4100 Greystone DrBirmingham, AL 35242-6409
Phone 205-522-7473
Mailing address
3641 Shandwick PlBirmingham, AL 35242-6418
Phone 205-522-7473
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