Elizabeth Ann Harris | Middletown, NY • PECOS Search

Elizabeth Ann Harris

Registered Nurse

Nursing Service Providers

33 Brookline Ave, Middletown, NY 10940-3403

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Ann Harris does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700075645
Provider Type
Individual
Full Name
Harris, Elizabeth Ann
Title
Mrs.
Credential
RN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/16/2007
Last Updated
10/16/2007

Contact Information

Practice Location

33 Brookline Ave, Middletown, NY 10940-3403

Unlisted Fax

Mailing Location

33 Brookline Ave, Middletown, NY 10940-3403

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 511489-1 New York