Individual
MS. CARLETHIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
958
WI
363LW0102X
Women's Health Nurse Practitioner
Primary
99040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261W
HUMANA
—
05
—
43842500
—
WI
Enumeration date
05/15/2006
Last updated
07/26/2012
Update your record
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