Carolyn M Harris
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1045 Wyatt Way
Lizton
, Indiana 46149-9583
Carolyn M Harris
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health
1045 Wyatt Way
Lizton
, Indiana 46149-9583
(317) 718-7110
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Carolyn M Harris
- 652 W County Road 200 N
- Danville, IN
- Zip : 46122-9126
- Phone : (317) 718-7110
Second Address
- Carolyn M Harris
- 1045 Wyatt Way
- Lizton, IN
- Zip : 46149-9583
- Fax : (317) 994-6605
- Phone : (317) 994-6600
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FAQs
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Is Carolyn M Harris a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 28144501A | IN |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 71002313A | IN |
National Provider Identifier
| NPI | 1871644278 |
|---|---|
| Provider Name | Carolyn M Harris |
| First Address | Danville, IN 46122-9126 |
| Second Address | Lizton, IN 46149-9583 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2007 |
| Last Update Date | 05/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100419730 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.