Individual
TERESA A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 BANNING ST, SUITE 320, DOVER, DE 19904-3485
(302) 674-0223
(302) 674-0109
Mailing address
200 BANNING ST, SUITE 320, DOVER, DE 19904-3485
(302) 674-0223
(302) 674-0109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L1-0031425
DE
363LW0102X
Women's Health Nurse Practitioner
Primary
LH-0000170
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0031425
PROF. LICENSE NUMBER
DE
01
—
LH-0000170
PROFESSIONAL LICENSE
DE
Enumeration date
11/30/2006
Last updated
04/21/2016
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