IndividualActive
Mia Love, CPNP
NPI 1295079895 · Pediatric Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1295079895
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 4704264783 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10800 E Canfield St
Detroit, MI 48214-1601
Phone: (313) 823-6000
Fax: (313) 876-1305
Street-level locationGet directions
Mailing address
1 Ford Pl Ste 3a
Detroit, MI 48202-3450
Additional practice locations (3)
- 2959 Martin Luther King Jr BlvdDetroit, MI 48208Phone: (313) 463-2037Fax: (313) 463-2201
- 3901 Beaubien St6 WestDetroit, MI 48201-2119Phone: (313) 993-2950Fax: (313) 745-0002
- 3901 Beaubien St6 WestDetroit, MI 48201-2119Phone: (313) 993-2950Fax: (313) 745-0002
Registry dates
- Enumerated
- 2012-11-20
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.