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NPI Code Detail

MEDICARE: DANA R HARRIS ARNP

MEDICARE: DANA R HARRIS ARNP
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
1363LF0000XFamily Nurse Practitioner2334PKY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7P00193681OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250009784OTHERKYPASSPORT- NORTON
3000052155JOTHERKYHUMANA- NORTON
4000000350660OTHERKYANTHEM- NORTON
51193985OTHERKYCHA- NORTON
62690098000OTHERKYPASSPORT ADVN-NORTON
8009696OTHERKYSIHO- NORTON

General Provider Information

NPI Number : 1952366957
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA R HARRIS ARNP
Provider Business Mailing Address
First Line : 2406 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-1008
Country : US
Telephone Number : 502-775-1211
Fax Number : 502-443-9391
Provider Business Practice Location Address
First Line : 2406 W BROADWAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-1008
Country : US
Telephone Number : 502-775-1211
Fax Number : 502-443-9391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 06/15/2023

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