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Individual
DR. DANITA KAYE HARRISON
Active
Individual
DR. DANITA KAYE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209003631
IL
363L00000X
Nurse Practitioner
Primary
A062587
IA
363LF0000X
Family Nurse Practitioner
A062587
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431296
—
IA
01
—
078691
HEALTH ALLIANCE
—
01
—
31157
WELLMARK BC/BS
—
01
—
IA01D7
JOHN DEERE
—
Enumeration date
06/20/2005
Last updated
09/10/2024
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