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NPI Code Detail

MEDICARE: DR. JANET R HARRIS PH.D. R.N.

MEDICARE:  DR. JANET R HARRIS  PH.D.   R.N.
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
1163W00000XRegistered Nurse31130NE

General Provider Information

NPI Number : 1174688782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET R HARRIS PH.D. R.N.
Provider Business Mailing Address
First Line : 17529 TIMBERLEIGH WAY
Second Line :
City : WOODBINE
State : MD
Zip : 21797-7928
Country : US
Telephone Number : 210-258-8540
Fax Number :
Provider Business Practice Location Address
First Line : 1077 PATCHELL ST
Second Line :
City : FORT DETRICK
State : MD
Zip : 21702-9244
Country : US
Telephone Number : 301-619-7073
Fax Number : 301-619-7796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JANET R HARRIS PH.D. R.N.” Practice Location

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