# DAEL BRYONY HARRISON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518910736
- **Gender:** F
- **Credential:** P.A.-C,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 001549 | CT | — |
| 363A00000X | Physician Assistant | 0779 | NH | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3075057 | — | NH |
| 01 | — | 72930 | VTW/TRICARE | NH |
