Individual
MRS. JULIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343-7918
(479) 409-5899
Mailing address
220 RAINBOW DR # 12033, LIVINGSTON, TX 77399-2020
(479) 409-5899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0125343
OK
Other
Enumeration date
06/14/2017
Last updated
07/22/2020
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