Provider Demographics
NPI:1396496014
Name:HARRISON, DAYANA LIZETH (CD (DONA))
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:LIZETH
Last Name:HARRISON
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:DAYANA
Other - Middle Name:L
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CD (DONA), CBE, PFT,
Mailing Address - Street 1:PSC 333 BOX 773
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96251-0008
Mailing Address - Country:US
Mailing Address - Phone:571-341-0811
Mailing Address - Fax:
Practice Address - Street 1:PSC 333 BOX 773
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96251-0008
Practice Address - Country:US
Practice Address - Phone:571-341-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
01Other01