Harrell, Priscilla Grace

Harrell, Priscilla Grace is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Harrell, Priscilla Grace can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 56516 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 56516 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G176678 California

Profile Details

NPI number 1780767269
LBN Legal business name Harrell, Priscilla Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated May 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780767269 NPPES
Massachusetts Other 5825897001 CIGNA
Massachusetts Other 2205188 CIGNA
Massachusetts Other 0007050 CIGNA
Massachusetts MEDICAID 3065472 CIGNA
Massachusetts Other J10183 CIGNA
Massachusetts Other 056516 CIGNA
Massachusetts Other 996622 CIGNA

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