Individual
MRS. TIFFANY ANNA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 MONROE ST, DEARBORN, MI 48124-3491
(313) 730-0070
(313) 730-1672
Mailing address
2845 MONROE ST, DEARBORN, MI 48124-3491
(313) 730-0070
(313) 730-1672
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704228795
MI
Other
Enumeration date
04/26/2009
Last updated
04/26/2009
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