Harrison, Katherine Marie

Harrison, Katherine Marie is an individual health care provider with primary practice located at 1432 S Dobson Rd 301, Mesa AZ 85202-4768. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Harrison, Katherine Marie can be contacted via phone (480) 412-9400.

Contact Information

Primary practice address
1432 S Dobson Rd 301 Mesa AZ 85202-4768
Phone: (480) 412-9400
Fax: (480) 412-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X RN113701 Arizona

Profile Details

NPI number 1225331127
LBN Legal business name Harrison, Katherine Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2010
Last updated Mar 29th, 2011 - about 13 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 1225331127 NPPES
Arizona MEDICAID 591423

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