Individual
MRS. MARY HARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
112 N BUCKEYE ST, OSGOOD, IN 47037-1134
(812) 689-3424
(812) 933-5237
Mailing address
PO BOX 236, BATESVILLE, IN 47006-0236
(812) 689-3424
(812) 933-5237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006348A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201371400
—
IN
Enumeration date
05/09/2016
Last updated
03/17/2018
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