Individual
ANNETTE S HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8239
Mailing address
12203 CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8133
WI
Other
Enumeration date
09/05/2017
Last updated
01/11/2018
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