Individual
COURTNEY HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6360 HOADLY RD, MANASSAS, VA 20112
(866) 389-2727
Mailing address
6360 HOADLY RD, MANASSAS, VA 20112-3422
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173072
VA
Other
Enumeration date
12/15/2015
Last updated
06/27/2019
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