Provider Demographics
NPI:1164945622
Name:HARRELL, COURTNEY YVETTE (CNA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:YVETTE
Last Name:HARRELL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 HARWIN DR STE 124B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2157
Mailing Address - Country:US
Mailing Address - Phone:832-338-4894
Mailing Address - Fax:
Practice Address - Street 1:7111 HARWIN DR STE 124B7111
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:832-338-4894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health