Individual
ELLEN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
35 HOPE DR, HERSHEY, PA 17033
(717) 531-3503
(717) 531-4375
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
SP004517G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031625510001
—
PA
01
—
179048
MEDICARE
PA
Enumeration date
11/25/2009
Last updated
05/23/2018
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