Individual
COLLEEN L HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Contact information
Practice address
400 HARBORSIDE, PCP SUITE 105, GALVESTON, TX 77555-0001
(409) 772-2652
(409) 772-9785
Mailing address
301 UNIVERSITY BLVD, SUITE 5.138 REBECCA SEALY, GALVESTON, TX 77555-0175
(409) 772-2652
(409) 772-9785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
616016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145744201
—
TX
Enumeration date
12/11/2006
Last updated
01/24/2013
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