Individual
ERIN HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 17TH ST, KEOKUK, IA 52632-3452
(319) 752-4573
(319) 753-2301
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
(319) 768-5858
(319) 753-2301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A145167
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A145167
STATE LICE
—
Enumeration date
05/04/2018
Last updated
05/04/2018
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