Individual
SHERRY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1226 W RIVER ST, BOISE, ID 83702-7049
(208) 331-1155
(208) 383-0190
Mailing address
349 E BURNEY GLEN DR, MERIDIAN, ID 83642-3719
(208) 884-0048
(208) 383-0190
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
N-32265
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N-32265
NURSING LICENSE
ID
Enumeration date
03/26/2007
Last updated
07/08/2007
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