Individual
MRS. THERESA CATHERINE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
114 MANOR AVE, BARDSTOWN, KY 40004-3230
(502) 349-9999
(502) 349-9499
Mailing address
114 MANOR AVE, BARDSTOWN, KY 40004-3230
(502) 349-9999
(502) 349-9499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3079P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005097
—
KY
Enumeration date
09/06/2006
Last updated
08/24/2022
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