Antwane Harris, RN
Registered Nurse, Psych/Mental Health, Adult in Birmingham, AL. Individual provider (NPI-1).
NPI number1477212355
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1477212355
- Entity type
- Individual (NPI-1)
- Name
- Antwane Harris
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 1-134407 | AL | Yes |
Practice location
908 20th St SBirmingham, AL 35205-2610
Phone 205-480-1889
Mailing address
908 20th St SBirmingham, AL 35205-2610
Phone 205-480-1889
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