Individual
AMY B HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
(660) 425-6663
Mailing address
3202 MILLER ST, BETHANY, MO 64424-2713
(660) 425-3154
(660) 425-6663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138539
MO
Other
Enumeration date
03/20/2007
Last updated
04/12/2017
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