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NPI Code Detail

MEDICARE: DR. DANITA KAYE HARRISON DNP, ARNP

MEDICARE:  DR. DANITA KAYE HARRISON  DNP, ARNP
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
1363L00000XNurse Practitioner209003631IL
2363LF0000XFamily Nurse PractitionerA062587IA
3363L00000XNurse PractitionerA062587IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1078691OTHERHEALTH ALLIANCE
2IA01D7OTHERJOHN DEERE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
431157OTHERWELLMARK BC/BS

General Provider Information

NPI Number : 1194720649
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANITA KAYE HARRISON DNP, ARNP
Provider Business Mailing Address
First Line : 865 LINCOLN RD STE 400
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-4159
Country : US
Telephone Number : 563-344-2240
Fax Number : 563-344-2244
Provider Business Practice Location Address
First Line : 865 LINCOLN RD STE 400
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-4159
Country : US
Telephone Number : 563-344-2240
Fax Number : 563-344-2244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 09/10/2024

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Directions to “ DR. DANITA KAYE HARRISON DNP, ARNP” Practice Location

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