Individual
SPRING PAIGE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6710
(502) 259-6704
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1062992
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3002595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240541
BLUE SHIELD
KY
01
—
1125369
PASSPORT
KY
05
—
201364120
—
IN
01
—
2437374000
PASSPORT ADVANTAGE
KY
01
—
430047498
RAILROAD MEDICARE
KY
05
—
74025958
—
KY
01
—
CH6488
RAILROAD MEDICARE GROUP
KY
Enumeration date
10/04/2005
Last updated
03/01/2023
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