Provider Demographics
NPI:1720856230
Name:HARRIS, NATALIE BRIANNA
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:BRIANNA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 CALEF HWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-3668
Mailing Address - Country:US
Mailing Address - Phone:603-923-5282
Mailing Address - Fax:
Practice Address - Street 1:19 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1585
Practice Address - Country:US
Practice Address - Phone:603-535-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer