Individual
SAMANTHA ANNE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71013993A
IN
363LF0000X
Family Nurse Practitioner
Primary
4704316935
MI
Other
Enumeration date
11/30/2015
Last updated
07/05/2023
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