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MIA HARRIS-HENDERSON
NPI 1942077060
Licensed Practical Nurse in Detroit, MI

Active since December 08, 2023
4646 JOHN R STREET, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mia Harris-henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIA HARRIS-HENDERSON (NPI 1942077060) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703125159) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1942077060
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMIA HARRIS-HENDERSON
Location Address4646 JOHN R STREETDetroit, MI 48201
Mailing Address4646 John R StDetroit, MI 48201-1916
Phone(313) 576-1000
Sole ProprietorYes
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1942077060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703125159
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4646 JOHN R STREET, Detroit, MI 48201
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDON BRUCE AUD
Audiologist
4646 JOHN R STREET, JOHN D. DINGELL VA MEDICAL CENTER
DETROIT, MI 48201
Wayne County (313) 576-1000
DR. SHUJA HAQUE M.D.
Psychiatry & Neurology (Psychiatry)
4646 JOHN R STREET, 11MH
DETROIT, MI 48201
Wayne County (313) 576-3373
MR. SUNG J LIM MD
Physical Medicine & Rehabilitation
4646 JOHN R STREET
DETROIT, MI 48201
Wayne County (313) 576-1000
SHONDRA PRITCHET LPN, CDP
Licensed Practical Nurse
4646 JOHN R STREET
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Harris-henderson's NPI number?

The NPI number for Mia Harris-henderson is 1942077060. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Mia Harris-henderson located?

Mia Harris-henderson practices at 4646 John R Street, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Mia Harris-henderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mia Harris-henderson was last updated on December 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.