MEDICARE: ANGEL HARRISON

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
1	174H00000X	Health Educator		MI
2	164W00000X	Licensed Practical Nurse	4703126041	MI

General Provider Information

NPI Number	:	1619822673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGEL HARRISON

Provider Business Mailing Address
First Line	:	26831 W PARK ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-3347
Country	:	US
Telephone Number	:	214-901-1895
Fax Number	:

Provider Business Practice Location Address
First Line	:	26831 W PARK ST
Second Line	:
City	:	ROSEVILLE
State	:	MI
Zip	:	48066-3347
Country	:	US
Telephone Number	:	214-901-1895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1477419752 — NEVEEN AMIR JOLAGH
Practice Location Address:

25710 KELLY RD
ROSEVILLE, MI
48066-4959

Practice Phone: 586-772-2600
Practice Fax:

1932308988 — MS. KAREN RENEE COCHENOUR COTA
Practice Location Address:

20124 MACEL ST
ROSEVILLE, MI
48066-1132

Practice Phone: 586-945-1896
Practice Fax:

1992162176 — DUSTIN COTTRELL ATC
Practice Location Address:

20905 E 12 MILE RD STE 200
ROSEVILLE, MI
48066-6501

Practice Phone: 586-204-0070
Practice Fax: 586-204-0080

1932102308 — MICHAEL MOONEY, INC
Practice Location Address:

27700 GRATIOT AVE STE 202
ROSEVILLE, MI
48066-4880

Practice Phone: 586-350-6800
Practice Fax: 586-772-5102

1831191170 — OSAMA N NUNU MD
Practice Location Address:

25710 KELLY RD STE 1
ROSEVILLE, MI
48066-4959

Practice Phone: 586-772-2600
Practice Fax: 586-772-5289

1326040510 — DR. BASEM ALMASRI M.D.
Practice Location Address:

25710 KELLY RD , STE 3
ROSEVILLE, MI
48066-4959

Practice Phone: 586-772-2600
Practice Fax: 586-772-5289

Directions to “ ANGEL HARRISON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.