Individual
DONNA K HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-5000
(320) 229-5184
Mailing address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-5000
(320) 229-5184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1439175
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119786
MEDICA HEALTH PLANS
—
01
—
014106200
MEDICAL ASSISTANCE
—
01
—
1043460
PREFERRED ONE
—
01
—
132750
U CARE
—
01
—
1652649
ARAZ GROUP AMERICAS PPO
—
01
—
496R2HA
BLUE CROSS BLUE SHIELD
—
01
—
956S2HA
BLUE CROSS BLUE SHIELD
—
01
—
HP50053
HEALTH PARTNERS
—
01
—
R1439175
LICENSE NUMBER
MN
Enumeration date
10/26/2005
Last updated
03/07/2023
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