Individual
THERESA LYNNE HARNAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 LANE ST, KANNAPOLIS, NC 28083-9217
(704) 403-4800
Mailing address
802 TREVA ANNE DR SW, CONCORD, NC 28027-3907
(704) 281-6586
(863) 241-0721
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
258408
NC
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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