Provider Demographics
NPI:1912742289
Name:HARRIS, RANA MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:MARIE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:MARIE
Other - Last Name:DRAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:4346 KELLYBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-7099
Mailing Address - Country:US
Mailing Address - Phone:980-248-3920
Mailing Address - Fax:
Practice Address - Street 1:4346 KELLYBROOK DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-7099
Practice Address - Country:US
Practice Address - Phone:980-248-3920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF06240794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine