Harris, Theresa Catherine

Harris, Theresa Catherine is an individual health care provider with primary practice located at 114 Manor Ave , Bardstown KY 40004-3230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Harris, Theresa Catherine can be contacted via phone (502) 349-9999.

Contact Information

Primary practice address
114 Manor Ave Bardstown KY 40004-3230
Phone: (502) 349-9999
Fax: (502) 349-9499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3079P Kentucky

Profile Details

NPI number 1639272776
LBN Legal business name Harris, Theresa Catherine
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 24th, 2022 - about 4 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 1639272776 NPPES
Kentucky MEDICAID 78005097

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