Individual provider · Type 1 NPI

Mendalose Ortega Harris, RN

Community Health Registered Nurse · Fort Gordon, GA

NPI number 1093045684 Active

Practice location

300 East Hospital Road, Dwight David Eisenhower Army Medical Center
Fort Gordon, GA 30905-5650

Mailing address

38701 38th St, Preventative Medicine Building
Fort Gordon, GA 30905-5650

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X041257023 (IL)

Community Health Registered Nurse: Definition to come...

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About NPI 1093045684

Mendalose Ortega Harris, RN's National Provider Identifier is 1093045684, issued on Jan 5, 2010. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fort Gordon, GA. The record was last updated on Apr 14, 2015.