Individual
ANDREA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 WORLD OF TENNIS SQ, LAKEWAY, TX 78738-1104
(512) 639-0287
Mailing address
129 WORLD OF TENNIS SQ, LAKEWAY, TX 78738-1104
(512) 639-0287
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
874217
TX
163WE0003X
Emergency Registered Nurse
Primary
874217
TX
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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