Provider Demographics
NPI:1689436107
Name:HARRIS, AMIE LOUISE
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:LOUISE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 N 33RD ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3221
Mailing Address - Country:US
Mailing Address - Phone:402-436-1139
Mailing Address - Fax:402-458-3239
Practice Address - Street 1:730 N 33RD ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-3221
Practice Address - Country:US
Practice Address - Phone:402-436-1139
Practice Address - Fax:402-458-3239
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider