Individual
DOROTHEA BRADY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1720 KNOWLES RD, PHENIX CITY, AL 36869-7135
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR STE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-137711
AL
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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