| Doctor Name: | MARCIANN HARRIS |
| NPI Number: | 1053393421 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 89947 |
| Business Practice Address: | 1808 Boise Ave Loveland, CO - 805385003 |
| Business Phone Number: | 9702781862 |
| Business Fax Number: | 9706630721 |
| Mailing Address: | 1627 E 18th St, LOVELAND |
| State: | CO |
| Postal Code: | 805384209 |
| Phone Number: | 9706630135 |
| Fax Number: | 9704611422 |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 89947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |