Doctor Name: | DIANA MICHELLE 'MICKEY' HARCHIS |
NPI Number: | 1497800874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN0000056186 |
Business Practice Address: | 600 Rayder Ave Loudon, TN - 377741050 |
Business Phone Number: | 8654582662 |
Business Fax Number: | |
Mailing Address: | 625 Beeler Loop Rd, GREENBACK |
State: | TN |
Postal Code: | 377422594 |
Phone Number: | 8658569630 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN0000056186 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |