Individual
MICHEALLE G HARRISON
Active
Individual
MICHEALLE G HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R171944
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051
BCBS DC
—
01
—
093NER-892347-01
CAREFIRST BCBS OF MD
—
01
—
093NSE-892347-01
CAREFIRST BCBS OF MD
—
01
—
0943ER-892347-02
CAREFIRST BCBS OF MD
—
05
—
411440000
—
MD
01
—
83-03374
EVERCARE
—
01
—
89234701
CAREFIRST MD
—
01
—
9676-0037
CAREFIRST BCBS OF DC
—
Enumeration date
08/04/2006
Last updated
07/17/2009
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