| NPI | 1346426764 |
|---|---|
| Former Name | MARANDA NICOLE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11020330) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: FL RN9218621) |
| 163WE0003X Registered Nurse, Emergency (Licence: FL 9218621) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2024-05-14 |