Individual
DANA R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
(502) 443-9391
Mailing address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
(502) 443-9391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2334P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350660
ANTHEM- NORTON
KY
01
—
000052155J
HUMANA- NORTON
KY
01
—
009696
SIHO- NORTON
KY
01
—
1193985
CHA- NORTON
KY
01
—
2690098000
PASSPORT ADVN-NORTON
KY
01
—
50009784
PASSPORT- NORTON
KY
05
—
78004181
—
KY
01
—
P00193681
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
06/15/2023
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