Provider Demographics
NPI:1659264414
Name:HARPER, KEYANI REBECCA RENEE
Entity type:Individual
Prefix:
First Name:KEYANI
Middle Name:REBECCA RENEE
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 VALENCIA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3012
Mailing Address - Country:US
Mailing Address - Phone:510-837-5425
Mailing Address - Fax:
Practice Address - Street 1:2815 VALENCIA WAY
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3012
Practice Address - Country:US
Practice Address - Phone:510-837-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula