Healthcare Provider Details
I. General information
NPI: 1801345244
Provider Name (Legal Business Name): EMILY HARRIS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/27/2016
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1020 BALTIMORE PIKE
GLEN MILLS PA
19342-1362
US
IV. Provider business mailing address
250 W LANCASTER AVE STE 120
PAOLI PA
19301-1798
US
V. Phone/Fax
- Phone: 484-565-1293
- Fax: 484-227-7781
- Phone: 610-644-8069
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | SP033274 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R201378 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: