Individual
MRS. ALEXANDRA MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3304 COOLEY CT, PORTAGE, MI 49024-7430
(269) 349-2266
(269) 349-0792
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704247031
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704247031
MI
Other
Enumeration date
12/12/2010
Last updated
11/27/2023
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