Reanna Harris
Nurse Practitioner, Family in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1619863545
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1619863545
- Entity type
- Individual (NPI-1)
- Name
- Reanna Harris
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2025
- Certification date
- Jun 12, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 223739 | OK | Yes |
Practice location
1215 N Birch AveBroken Arrow, OK 74012-2690
Phone 918-960-0926
Mailing address
1215 N Birch AveBroken Arrow, OK 74012-2690
Phone 918-960-0926
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