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Individual

ELIZABETH MCDANIEL HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
705 MAIN ST, DANVILLE, VA 24541-1803
(434) 791-4122
Mailing address
19144 US HIGHWAY 29, CHATHAM, VA 24531-5548
(434) 432-0216
(434) 432-3425

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024168511
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
VA
Enumeration date
12/22/2009
Last updated
07/06/2020
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