Individual
JULIE B HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(985) 447-5500
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 447-5500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05506
LA
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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