Individual
NICOLETTE HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 233-2455
(304) 233-6073
Mailing address
119 WOODSIDE DR, WASHINGTON, PA 15301-3033
(304) 233-2455
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN608325
PA
Other
Enumeration date
01/26/2016
Last updated
04/16/2020
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