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NPI Code Detail

MEDICARE: MRS. NATASHA KAYANN HARRIS FNP

MEDICARE:  MRS. NATASHA KAYANN HARRIS  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
1363LF0000XFamily Nurse PractitionerF337755NY

Other Identifiers

General Provider Information

NPI Number : 1770727729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATASHA KAYANN HARRIS FNP
Provider Business Mailing Address
First Line : 3923 FORT HAMILTON PKWY FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-1916
Country : US
Telephone Number : 929-491-7333
Fax Number :
Provider Business Practice Location Address
First Line : 3923 FORT HAMILTON PKWY FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-1916
Country : US
Telephone Number : 929-491-7333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2009
Last Update Date : 04/20/2022

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