Individual
MISHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(757) 667-8898
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
CNP-02881
NM
Other
Enumeration date
03/26/2016
Last updated
12/03/2019
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