Harrison, Mary E
Harrison, Mary E is an individual health care provider with primary practice located at 330 Paseo Del Pueblo Sur Unit C, Taos NM 87571-5219. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harrison, Mary E can be contacted via phone (505) 758-1414.Contact Information
Primary practice address
330 Paseo Del Pueblo Sur Unit C
Taos NM 87571-5219
Phone: (505) 758-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP00253 | New Mexico |
Profile Details
| NPI number | 1376574079 |
|---|---|
| LBN Legal business name | Harrison, Mary E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 26th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376574079 | NPPES |
| New Mexico | MEDICAID | 74867 |
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