Individual
KERRY SHAWN HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4351 E LOHMAN AVE STE 320, LAS CRUCES, NM 88011-8262
(575) 522-0116
(575) 522-0094
Mailing address
4351 E LOHMAN AVE STE 320, LAS CRUCES, NM 88011-8262
(575) 522-0116
(575) 522-0094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-54594
NM
364SA2200X
Adult Health Clinical Nurse Specialist
CNS-00220
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407592YY54
MEDICARE PTAN
NM
05
—
95135791
—
NM
Enumeration date
08/25/2010
Last updated
09/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us