Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTHA HARRIS
ActiveChild & Adolescent Psychiatric Nurse · KENNETT, MO
Registration Details
- NPI Number
- 1417123183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2008 (18.011146868957 yrs)
- Last Updated
- May 2, 2008
- License
-
2003006630 (MO)
Practice Information
- Address
-
925 HWY V VKENNETT, MO, 63857Browse MO providers · Browse ZIP 63857
- Phone
- 5738885925
- Fax
- 5738889365
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.