Harris, Laurie A
Harris, Laurie A is an individual health care provider with primary practice located at 1235 E Cherokee St , Springfield MO 65804-2203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Harris, Laurie A can be contacted via phone (417) 820-2829.Contact Information
Primary practice address
1235 E Cherokee St
Springfield MO 65804-2203
Phone: (417) 820-2829
Fax: (417) 820-8852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP9427379 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 123514 | Missouri |
Profile Details
| NPI number | 1275671620 |
|---|---|
| LBN Legal business name | Harris, Laurie A |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 23rd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275671620 | NPPES |
| Missouri | MEDICAID | 917229106 | |
| Missouri | MEDICAID | 159250001 | |
| Missouri | Other | 175118 | |
| Missouri | Other | 83413 |
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