Individual
LIAM DAVID HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
300 N CASCADE AVE, MONTROSE, CO 81401-3537
(970) 249-3203
Mailing address
300 N CASCADE AVE, MONTROSE, CO 81401-3537
(970) 249-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1636155
CO
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1636155
CO
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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