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NPI Code Detail

MEDICARE: ASHTON HARRIS APRN, CNP

MEDICARE:   ASHTON  HARRIS  APRN, CNP
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 Nurse041534445IL
2363LF0000XFamily Nurse Practitioner209.029657IL
3363L00000XNurse Practitioner209029657IL

General Provider Information

NPI Number : 1366293250
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON HARRIS APRN, CNP
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 415
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3133
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-694-4102
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 415
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3133
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-694-4102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2024
Last Update Date : 06/26/2024

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Directions to “ ASHTON HARRIS APRN, CNP” Practice Location

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