Individual
JOSHUA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
13771 N FOUNTAIN HILLS BLVD # 114-103, FOUNTAIN HILLS, AZ 85268-3762
(888) 662-3376
(786) 453-0383
Mailing address
13771 N FOUNTAIN HILLS BLVD # 114-103, FOUNTAIN HILLS, AZ 85268-3762
(888) 662-3376
(786) 453-0383
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
AP11596
AZ
363L00000X
Nurse Practitioner
AP11596
AZ
363LA2200X
Adult Health Nurse Practitioner
AP11596
AZ
363LG0600X
Gerontology Nurse Practitioner
AP11596
AZ
Other
Enumeration date
07/30/2018
Last updated
10/01/2020
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