Individual
NICOLE J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 W CHANDLER BLVD STE A, CHANDLER, AZ 85225-2548
(480) 899-0200
(480) 889-0202
Mailing address
908 W CHANDLER BLVD STE A, CHANDLER, AZ 85225-2548
(480) 899-0200
(480) 899-0202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050337
MN
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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