Individual
ADRIENNE RENEE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 N NEW FLORISSANT RD, FLORISSANT, MO 63033-1905
(143) 976-1973
(314) 689-0131
Mailing address
1777 N NEW FLORISSANT RD, FLORISSANT, MO 63033-1905
(143) 976-1973
(314) 689-0131
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06241973
—
MO
Enumeration date
11/11/2022
Last updated
05/13/2025
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