Individual
MATTHEW HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3453 ANNETTE ST, TRUSSVILLE, AL 35173-1905
(205) 447-5986
Mailing address
3453 ANNETTE ST, TRUSSVILLE, AL 35173-1905
(205) 447-5986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-146915
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2021
Last updated
08/05/2025
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