Marena Josephine Harrison, PA
Physician Assistant, Surgical in Hartford, CT. Individual provider (NPI-1).
NPI number1164044947
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1164044947
- Entity type
- Individual (NPI-1)
- Name
- Marena Josephine Harrison
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 14, 2020
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
114 Woodland StHartford, CT 06105-1208
Phone 860-329-5253
Mailing address
101 Limner CirRocky Hill, CT 06067-3247
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