Individual
ANGELA MARIE HARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEDIATRIC NURSE PRAC
Contact information
Practice address
5250 WEST 94TH TERRACE, PRAIRIE VILLAGE, KS 66207
(913) 451-0000
(913) 491-0547
Mailing address
14011 BENSON STREET, OVERLAND PARK, KS 66221
(913) 912-1405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
115839
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
53-75721-112
KS
Other
Enumeration date
12/11/2006
Last updated
05/29/2019
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