Individual
MICHELLE M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
123 FRONTAGE A RD, GRAY, LA 70359-6301
(985) 580-1200
(985) 580-1218
Mailing address
123 FRONTAGE A RD, GRAY, LA 70359-6301
(985) 580-1200
(985) 580-1218
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN038388 APO2286
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397504
—
LA
Enumeration date
06/08/2006
Last updated
09/11/2007
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