Healthcare Provider Details

I. General information

NPI: 1184874117
Provider Name (Legal Business Name): AMY BATCHELDER HARRIS MSN, RN, OCNS-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-4517
  • Fax: 202-476-2557
Mailing address:
  • Phone: 202-476-4517
  • Fax: 202-476-2557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberRN46658
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License NumberR098741
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: