Harris, Mary R

Harris, Mary R is an individual health care provider with primary practice located at 805 Atlantic St , Stamford CT 06902-6805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Harris, Mary R can be contacted via phone (203) 327-5111.

Contact Information

Primary practice address
805 Atlantic St Stamford CT 06902-6805
Phone: (203) 327-5111
Fax: (203) 327-2991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 003718 Connecticut

Profile Details

NPI number 1366612970
LBN Legal business name Harris, Mary R
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Jul 12th, 2010 - about 14 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 1366612970 NPPES
Connecticut Other 003718 STATE LICENSE

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