Healthcare Provider Details

I. General information

NPI: 1407222128
Provider Name (Legal Business Name): MARLIA HARRIGAN APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2015
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 MATLOCK RD
ARLINGTON TX
76015-2908
US

IV. Provider business mailing address

3301 MATLOCK RD
ARLINGTON TX
76015-2908
US

V. Phone/Fax

Practice location:
  • Phone: 682-509-5800
  • Fax: 682-509-5801
Mailing address:
  • Phone: 682-509-5800
  • Fax: 682-509-5801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number922934
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: