Individual provider · Type 1 NPI
Mia Love, CPNP
Pediatric Nurse Practitioner · Detroit, MI
NPI number
1295079895
Active
Practice location
10800 E Canfield St
Detroit, MI 48214-1601
Fax (313) 876-1305
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 3901 Beaubien St, 6 West, Detroit, MI 48201-2119 · (313) 993-2950
- 3901 Beaubien St, 6 West, Detroit, MI 48201-2119 · (313) 993-2950
- 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 · (313) 463-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704264783 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1295079895
Mia Love, CPNP's National Provider Identifier is 1295079895, issued on Nov 20, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Dec 29, 2025.