Provider Demographics
NPI:1134130818
Name:HARRIS, LAURIE LYNNE (NP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:LYNNE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8888 EAST RAINTREE DRIVE
Mailing Address - Street 2:SUITE 170
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:28506
Mailing Address - Country:US
Mailing Address - Phone:480-391-8500
Mailing Address - Fax:480-391-8590
Practice Address - Street 1:8888 E RAINTREE DR
Practice Address - Street 2:SUITE 170
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3951
Practice Address - Country:US
Practice Address - Phone:480-391-8500
Practice Address - Fax:480-391-8590
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2009-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN102890363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner