Doctor Name: | MS. ANGELA HENDRICKS HARRISON |
NPI Number: | 1205817780 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | 0024081829 |
Business Practice Address: | 1 Clinic Dr Claypool Hill Richlands, VA - 246411100 |
Business Phone Number: | 2769646771 |
Business Fax Number: | 2769641321 |
Mailing Address: | 1 Clinic Dr, RICHLANDS |
State: | VA |
Postal Code: | 246411102 |
Phone Number: | 2769646771 |
Fax Number: | 2769641370 |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 0024081829 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |