Harris, Susan A
Harris, Susan A is an individual health care provider with primary practice located at 801 Goldsmith Rd , Paragould AR 72450-9509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Harris, Susan A can be contacted via phone (870) 236-7782.Contact Information
Primary practice address
801 Goldsmith Rd
Paragould AR 72450-9509
Phone: (870) 236-7782
Fax: (870) 236-9610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | A01003ANP | Arkansas |
Profile Details
| NPI number | 1003965120 |
|---|---|
| LBN Legal business name | Harris, Susan A |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1003965120 | NPPES |
| Arkansas | MEDICAID | 148177758 |
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