Individual
MRS. ANDREA L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
800 5TH ST, SIOUX CITY, IA 51101-1317
(712) 234-2300
(712) 234-2398
Mailing address
3200 W 4TH ST, SIOUX CITY, IA 51103-3204
(712) 258-4578
(712) 258-1061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-103867
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-103867
STATE LICENSE
IA
Enumeration date
09/06/2012
Last updated
03/21/2017
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