Miranda Kaye Harris, LPN
Individual provider Active NPI Licensed Practical Nurse · Prescott, AR
NPI 1528087475 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528087475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- L39920 (AR)
- Practice address
- 1658 Hwy 371 West
Prescott, AR 71857 - Phone
- (870) 887-3660
- Fax
- (870) 887-3705
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L39920 | AR | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients | |
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L39920 | AR | Yes |
Addresses
Primary practice location
1658 Hwy 371 West
Prescott, AR 71857
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655
Other providers in Prescott, AR
- Shannon Hanson
- Catina Harper
- Amy Nichole Harris
- Bradley Ralph Harris
- Fred William Harris
- Tina Harvey
- Karen Kay Haynie
- Melanie Lynn Hearnsberger McGuire
- Kayla Hellums
- Sally Ann Hill
All providers in Prescott, AR · Licensed Practical Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.