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Individual

DEIRDRENEY ANDRIA HARRIS

Active
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Individual

DEIRDRENEY ANDRIA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
97710
OK
363L00000X
Nurse Practitioner
219768
AZ
363L00000X
Nurse Practitioner
Primary
95012530
CA

Other

Enumeration date
11/09/2018
Last updated
06/08/2023
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