MRS. CONNIE L HARRIS


Address: 319 W Delaware St, Decatur, MI 49045-1106
Phone: 2694237028

MRS. CONNIE L HARRIS (NPI# 1861462996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861462996
Entity Type Individual
Full Name MRS. CONNIE L HARRIS
Credential FNP-C
Practice Address 319 W Delaware St
Decatur
MI 49045-1106
Practice Telephone 2694237028
Practice Fax Number 2694238282
Mailing Telephone 2694237028
Mailing Fax Number 2694238282
Enumeration Date 2006-01-23
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704172936 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 1861462996 05
MI BCBS 50-0-87-0538-0 01
MI 4784689 05

Other Providers CONNIE HARRIS

NPI Name Taxonomy Address Enumeration
1205222924 Connie Linnette Harris Early Intervention Provider Agency 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 2015-04-09
1033499728 Connie Jo Harris Psychologist 1215 Sw G St, Grants Pass, OR 97526-2544 2011-08-25
1639380967 Connie Harris Registered Nurse 2045 Fairmont Dr, San Leandro, CA 94578-1088 2007-05-25

Office Location

Street Address 319 W DELAWARE ST
City DECATUR
State MI
Zip Code 49045-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639166747 Lester Burkow Family Medicine 319 W Delaware St, Decatur, MI 49045-1106 2005-10-04
1649886607 Melissa Lynn Williams Social Worker 319 W Delaware St, Decatur, MI 49045-1106 2020-09-16
1245869585 Erica Nagra Registered Nurse 319 W Delaware St, Decatur, MI 49045-1106 2020-04-08
1376767285 Bronson Lakeview Hospital Family Medicine 319 W Delaware St, Decatur, MI 49045-1106 2007-04-12
1942373089 Song Yol Yu Family Medicine 319 W Delaware St, Decatur, MI 49045-1106 2006-11-16
1699844571 Amanda Rose Pung Physician Assistant 319 W Delaware St, Decatur, MI 49045-1106 2006-11-07
1306815550 David Joseph Wendling Family Medicine 319 W Delaware St, Decatur, MI 49045-1106 2006-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508106121 Murks Village Market Inc Pharmacy 108b East Delaware Street, Decatur, MI 49045 2013-02-19
1295863066 Linda Arlene Berrington Pharmacist 108 B E Delaware St, Decatur, MI 49045 2007-03-01
1891228342 Jorge Ricardo Swett Tapia Dentist 321 W Delaware St, Decatur, MI 49045 2017-04-11
1295741320 Dale Eugene Bryant Jr. Registered Nurse 216 E Saint Marys St, Decatur, MI 49045-1023 2006-07-31
1023133378 Robert Steven Murav Dentist 321 W Delaware St, Decatur, MI 49045-1106 2007-03-19
1255495685 Richard Lewis Moussalli Dentist 115 S Phelps St, Decatur, MI 49045-1117 2006-12-20
1285645796 Decatur Pharmacy Durable Medical Equipment & Medical Supplies 100 W Sherwood St, Decatur, MI 49045-1120 2006-08-10
1396150546 Blue Seahorse Inc. Counselor 101 E Delaware St, Decatur, MI 49045-1131 2014-06-26
1407491277 Twin Doves II LLC Community Based Residential Treatment Facility, Mental Illness 40739 80th Ave, Decatur, MI 49045-8158 2019-11-15
1467888123 Kristin Lee Desrosiers Social Worker 79315 County Road 681, Decatur, MI 49045-9023 2013-09-25
Find all providers in zip 49045

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729965 Jamie Mclemore Nurse Practitioner 17619 Hwy 58 North, Decatur, TN 37322-3732 2020-10-30
1790383776 Angela Tope Adeleke Nurse Practitioner 3185 Georgian Woods Cir, Decatur, GA 30034-5105 2020-10-13
1417564147 Jigna Patel Nurse Practitioner 1963 Don Juan Ln, Decatur, GA 30032-4218 2020-09-27
1659983856 Emilie Carsell Mathias Nurse Practitioner 2208 N Crossing Way, Decatur, GA 30033-4175 2020-08-19
1275151078 Tiffanie Marshall Mcguire Nurse Practitioner 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 2020-07-08
1922623610 Anastasiya A Drogoul Nurse Practitioner 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 2020-06-09
1174156244 Anne Marie Strickland Nurse Practitioner 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 2020-02-18
1174161822 Allison Leanne Hall Nurse Practitioner 304 W Hay St Ste 312, Decatur, IL 62526-4170 2019-12-12
1396387866 Elizabeth Nichole Mathews Nurse Practitioner 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 2019-10-16
1861040479 Oladunni Funmi Faminu Nurse Practitioner 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 2019-08-27
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 49045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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