Provider Demographics
NPI:1629585088
Name:HARRIMAN, DENISE C (FNP-C)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:C
Last Name:HARRIMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 E RAY RD
Mailing Address - Street 2:#572
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-4527
Mailing Address - Country:US
Mailing Address - Phone:480-248-6261
Mailing Address - Fax:480-248-6261
Practice Address - Street 1:3324 E RAY RD
Practice Address - Street 2:#572
Practice Address - City:HIGLEY
Practice Address - State:AZ
Practice Address - Zip Code:85236
Practice Address - Country:US
Practice Address - Phone:480-248-6261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP10821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily