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Individual

BETTY M. HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, WHNP

Contact information

Practice address
2006 FRANKLIN ST SE STE 102, HUNTSVILLE, AL 35801-4537
(256) 251-5121
(256) 513-4969
Mailing address
2006 FRANKLIN ST SE STE 102, HUNTSVILLE, AL 35801-4537
(256) 251-5121
(256) 513-4969

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
659270
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173595301
TX
01
8N8553
BCBS
TX
01
P00292869
RR MEDICARE
TX
Enumeration date
10/11/2006
Last updated
10/13/2019
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