Individual
MICHELA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
530 S 25TH ST, FORT DODGE, IA 50501-5566
(515) 576-2235
Mailing address
530 S 25TH ST, FORT DODGE, IA 50501-5566
(515) 576-2235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P53555
IA
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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