Individual
ELIZABETH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
4733 W MONCRIEFF PL, DENVER, CO 80212-1600
(303) 964-8770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3833
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2547041
—
CO
Enumeration date
07/18/2006
Last updated
11/03/2009
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