Individual
ARKEYLLA T HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4000
(330) 841-4455
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.309209
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
83424
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12103722
CAQH
—
05
—
3039401
—
OH
01
—
H140200
MEDICARE PTAN
OH
Enumeration date
02/22/2010
Last updated
06/06/2023
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