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1427410653
MISHA HARRIS
SANTA FE, NM
NPI
1427410653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: NM CNP-02881)
Enumeration Date
2016-03-26
Last Update Date
2019-12-03
Business Address
MISHA HARRIS CPNP
455 SAINT MICHAELS DR
SANTA FE, NM 87505-7601
Phone number: 757-667-8898
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Mailing Address
MISHA HARRIS CPNP
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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