Individual
MRS. CONNIE L HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61200624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861462996
—
MI
05
—
4784689
—
MI
01
—
50-0-87-0538-0
BCBS
MI
Enumeration date
01/23/2006
Last updated
07/27/2023
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