Individual
PATRICIA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2101 JACOB ST STE 302, WHEELING, WV 26003-3800
(304) 232-1122
(304) 234-1864
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
06964
OH
363LF0000X
Family Nurse Practitioner
Primary
60299
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2432200
—
OH
05
—
7100152000
—
WV
01
—
P00097877
RAILROAD MEDICARE
OH
Enumeration date
09/26/2006
Last updated
05/26/2015
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