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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN HARRIS

MEDICARE:  MRS. PATRICIA ANN HARRIS
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1306690961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN HARRIS
Provider Business Mailing Address
First Line : 5946 GRANDIOSE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46228-4308
Country : US
Telephone Number : 317-362-3613
Fax Number :
Provider Business Practice Location Address
First Line : 5946 GRANDIOSE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46228-4308
Country : US
Telephone Number : 317-362-3613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2024
Last Update Date : 04/11/2024

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Directions to “ MRS. PATRICIA ANN HARRIS ” Practice Location

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