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Individual

DANIEL PATIRCK HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
903 LAKE SHORE DRIVE, APT. 102, WEST PALM BEACH, FL 33403
(336) 402-1253
Mailing address
903 LAKE SHORE DRIVE, APT. 102, WEST PALM BEACH, FL 33403

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11000211
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11000211
FLORIDA BOARD OF NURSING
FL
Enumeration date
10/04/2018
Last updated
06/11/2019
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