Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 18110 | NE |
N | 207U00000X | Nuclear Medicine Specialist | 18110 | NE |
NPI | 1336197722 |
---|---|
Provider Name | Katherine A Harrison |
First Address | Omaha, NE 68198-8095 |
Second Address | Omaha, NE 68198-8095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47078557509 | (05) | NE |
E58812 | (02) | NE |