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NPI 1114658291

NPI 1114658291 : HARLEE A PIRTLE MSN, APRN, FNP-C : BOSSIER CITY, LA

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General NPI Number Information
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    NPI Number           |    1114658291
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    Entity Type          |    Individual 
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    Provider Name        |    HARLEE A PIRTLE MSN, APRN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2022
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    Last Update Date     |    10/23/2024
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Provider Practice Location Address
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    Address Line         |    2400 HOSPITAL DRIVE 
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    City                 |    BOSSIER CITY
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    State                |    LA
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    Zip                  |    71111
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    Country              |    US
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    Telephone            |    318-212-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    353 CASH RD SW 
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    City                 |    CAMDEN
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    State                |    AR
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    Zip                  |    71701-3704
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    Country              |    US
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    Telephone            |    870-836-8101
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    Fax                  |    870-837-6876
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    220754
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    License Number State |    AR
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    237029
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    License Number State |    LA
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