Individual
MS. NANCY ANNE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(563) 920-0333
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
044381
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
D052608
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28268
WELLMARK BCBS
IA
05
—
6198127
—
IA
Enumeration date
09/15/2005
Last updated
11/27/2007
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