Individual
MISS DANA LYNN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 VAN DUSEN RD, LAUREL, MD 20707-9463
(301) 497-7974
Mailing address
14740 4TH ST, #302, LAUREL, MD 20707-3718
(301) 725-4868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R180911
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414463500
—
MD
Enumeration date
11/29/2007
Last updated
08/02/2017
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