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NPI Code Detail

MEDICARE: KATHLEEN ANNE HARRIS APRN

MEDICARE: KATHLEEN ANNE HARRIS APRN
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
1363LA2200XAdult Health Nurse PractitionerAPRN.CNP.026465OH

General Provider Information

NPI Number : 1144825191
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANNE HARRIS APRN
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1950 E 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2008
Country : US
Telephone Number : 216-444-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 11/30/2020

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Directions to “ KATHLEEN ANNE HARRIS APRN” Practice Location

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