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DEIRDRENEY ANDRIA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1817 ARLINGTON ST, ADA, OK 74820-2814
(580) 279-0985
(858) 461-6008
Mailing address
1817 ARLINGTON ST, ADA, OK 74820-2814
(580) 279-0985
(858) 461-6008

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
97710
OK
363L00000X
Nurse Practitioner
219768
AZ
363L00000X
Nurse Practitioner
Primary
95012530
CA

Other

Enumeration date
11/09/2018
Last updated
06/08/2023
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