Individual
HAILI HARLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3961 23RD AVE N, SAINT PETERSBURG, FL 33713-4850
(865) 230-0519
Mailing address
703 VIRGINIA ST, DUNEDIN, FL 34698-6615
(727) 953-3587
(727) 724-4110
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008425
FL
Other
Enumeration date
10/07/2020
Last updated
11/06/2020
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