Individual
MRS. NANCY LANE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 SE 2ND AVE, DELRAY BEACH, FL 33444-3615
(561) 400-4118
Mailing address
909 SE 5TH AVE, SUITE 201, DELRAY BEACH, FL 33483-5172
(561) 900-2498
(888) 972-4762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2875
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9162696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196631
MEDCOST
SC
05
—
7004494
—
NC
05
—
NP0019
—
SC
01
—
P00691785
RR MEDICARE
SC
Enumeration date
11/16/2006
Last updated
04/28/2014
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