Individual
NANCY L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Mailing address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39837-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236136
BCBSWI
WI
05
—
1043236136
—
WI
05
—
32432100
—
WI
01
—
HARRINAN
MERCYCARE INSURANCE
WI
Enumeration date
07/14/2006
Last updated
10/22/2013
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