Individual
KATIE E HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
3104 ACTON ST, BERKELEY, CA 94702-2709
(202) 658-8610
Mailing address
3104 ACTON ST, BERKELEY, CA 94702-2709
(202) 658-8610
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
NMW235828
CA
363LW0102X
Women's Health Nurse Practitioner
NP95005533
CA
367A00000X
Advanced Practice Midwife
Primary
235828
CA
Other
Enumeration date
12/19/2016
Last updated
01/31/2022
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