Individual
MRS. DELORIS RENEE HARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
104 E US HIGHWAY 80 STE 190, FORNEY, TX 75126
(469) 602-5277
(469) 995-7898
Mailing address
104 E US HIGHWAY 80 STE 190, FORNEY, TX 75126-8615
(469) 602-5277
(844) 881-1772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP117846
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
703123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346478252
—
TX
05
—
203992707
—
TX
Enumeration date
06/30/2009
Last updated
04/30/2020
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