Individual
DIANA MICHELLE 'MICKEY' HARCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
600 RAYDER AVE, LOUDON, TN 37774-1050
(865) 458-2662
Mailing address
625 BEELER LOOP RD, GREENBACK, TN 37742-2594
(865) 856-9630
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000056186
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000056186
RN LICENSE
TN
Enumeration date
01/24/2007
Last updated
07/08/2007
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