IndividualActive
Kimberly Harris, CRNA
NPI 1003041617 · Certified Registered Nurse Anesthetist · Detroit, MI
Provider details
- NPI number
- 1003041617
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 4704169677 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-8521
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 67000
Detroit, MI 48267-0002
Registry dates
- Enumerated
- 2009-05-27
- Last updated
- 2010-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.