Individual
LEAH DANIELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6880
(989) 894-3000
Mailing address
PO BOX 153, BRETHREN, MI 49619-0153
(231) 392-6117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704289488
MI
163WC0200X
Critical Care Medicine Registered Nurse
4704289488
MI
363L00000X
Nurse Practitioner
Primary
4704289488
MI
363LF0000X
Family Nurse Practitioner
4704289488
MI
Other
Enumeration date
07/18/2019
Last updated
07/19/2019
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