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NPI Code Detail

MEDICARE: KATHRYN HARRIS CRNP

MEDICARE: KATHRYN HARRIS CRNP
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
1363LP0200XPediatric Nurse Practitioner85495NM

General Provider Information

NPI Number : 1730596487
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN HARRIS CRNP
Provider Business Mailing Address
First Line : 16 IDELLA AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19804-1661
Country : US
Telephone Number : 302-651-2732
Fax Number :
Provider Business Practice Location Address
First Line : 16 IDELLA AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19804-1661
Country : US
Telephone Number : 302-651-2732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2014
Last Update Date : 05/19/2026

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