Individual
TERRI HARSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
556 N SHORE DR LOT 3, SOUTH HAVEN, MI 49090-1062
(435) 174-1211
Mailing address
556 N SHORE DR LOT 3, SOUTH HAVEN, MI 49090-1062
(435) 174-1211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5053564-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F76004
BCBSM
MI
01
—
50535644400001
BXBS
UT
05
—
D4416
—
UT
Enumeration date
09/01/2005
Last updated
03/26/2009
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