Individual
CHARMAINE DIANE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608
(251) 382-4154
Mailing address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 382-4154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-098080
AL
Other
Enumeration date
11/26/2018
Last updated
03/12/2019
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