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1164783387

NPI Code Detail

MEDICARE: BRITTANY NICHOL HARRISON FNP

MEDICARE: BRITTANY NICHOL HARRISON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71004067A	IN
2	363LF0000X	Family Nurse Practitioner	3013026	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9815905	OTHER	IN	AETNA PIN
2	1554303	OTHER		WELLCARE ID
3	CS1817800169	OTHER	IN	CARESOURCE ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	PDZ000000063404	OTHER	KY	AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
7	000001155086	OTHER	IN	ANTHEM ID
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164783387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY NICHOL HARRISON FNP

Provider Business Mailing Address
First Line	:	PO BOX 21890
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4115
Country	:	US
Telephone Number	:	502-907-0356
Fax Number	:	502-919-9780

Provider Business Practice Location Address
First Line	:	700 KIMBER LANE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2803
Country	:	US
Telephone Number	:	812-476-7111
Fax Number	:	812-476-7117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	06/14/2022

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1841543923 — LAURA ANN STEWART FNP
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1194168930 — MRS. MARLENA LANGFORD APN-BC
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1194206789 — DEBORAH L TAPP NP
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Directions to “ BRITTANY NICHOL HARRISON FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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